raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1933

Mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria

Synonyms: Booth-Haworth-Dilling syndrome · Mitochondrial encephalomyopathy-aminoacidopathy syndrome · mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria

Type
Disease
Group
Disorder
Inheritance
Mitochondrial inheritance
Age of onset
Infancy
Status
active

A rare mitochondrial DNA depletion syndrome characterized by neonatal or infantile onset of global developmental delay, hypotonia, failure to thrive, progressive neurologic decline, sensorineural deafness, and movement disorder. Seizures, external ophthalmoplegia, polyneuropathy, cardiomyopathy, and renal tubular dysfunction have also been reported. Brain imaging may show T2-weighted hyperintensities in the basal ganglia, and laboratory examination may reveal lactic acidosis and mild methylmalonic aciduria.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduriaBooth-Haworth-Dilling syndrome · Mitochondrial encephalomyopathy-aminoacidopathy syndrome · mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria
frSyndrome de déplétion de l'ADN mitochondrial forme encéphalomyopathique avec acidurie méthylmaloniqueSyndrome d'encéphalomyopathie mitochondriale-aminoacidopathie · Syndrome de Booth-Haworth-Dilling · Syndrome de déplétion de l'ADNmt, forme encéphalomyopathique avec acidurie méthylmalonique
deMitochondriales DNA-Depletionssyndrom, enzephalomyopathische Form mit Methylmalonazidurie
esSíndrome de depleción del ADN mitocondrial, forma encefalomiopática con aciduria metilmalónicaSíndrome de Booth-Haworth-Dilling · Síndrome de depleción del ADNmt, forma encefalomiopática con aciduria metilmalónica · Síndrome de encefalomiopatía mitocondrial-aminoacidopatía
itSindrome da deplezione del DNA mitocondriale, forma encefalomiopatica con aciduria metilmalonicaEncefalomiopatia mitocondriale - aminoacidopatia · Sindrome da deplezione del mtDNA, forma encefalomiopatica con aciduria metilmalonica · Sindrome di Booth-Haworth-Dilling
nlMitochondriaal DNA-depletiesyndroom, encefalomyopathische vorm met methylmalonacidurieMitochondriaal DNA-depletiesyndroom, encefalomyopathische vorm met methylmalonacidemie · Mitochondriaal DNA-depletiesyndroom, encefalomyopathische vorm met methylmalonzuuracidurie · Mitochondriale encefalomyopathie - aminoacidopathie-syndroom · Syndroom van Booth-Haworth-Dilling · mtDNA-depletiesyndroom, encefalomyopathische vorm met methylmalonacidemie · mtDNA-depletiesyndroom, encefalomyopathische vorm met methylmalonacidurie · mtDNA-depletiesyndroom, encefalomyopathische vorm met methylmalonzuuracidurie
ptSíndrome de depleção do ADN mitocondrial, forma encefalomiopática com aciduria metilmalónicaEncefalomiopatia aminoacidopatia mitocondrial · Síndrome Booth-Haworth-Dilling · Síndrome de depleção do ADNmt, forma encéfalomiopática com acidúria metilmalónica
plZespół deplecji mitochondrialnego DNA, forma z encefalomiopatią i kwasicą metylomalonowąMitochondrialna encefalomiopatia - aminoacidopatia · Zespół Bootha, Hawortha i Dillinga · Zespół deplecji mtDNA, forma z encefalomiopatią i kwasicą metylomalonową
csSyndrom deplece mitochondriální DNA, encefalomyopatická forma s methylmalonovou aciduriíSyndrom zahrnující mitochondriální encefalomyopatii a aminoacidopatii · Syndrom mtDNA deplece, encefalomyopatická forma s methylmalonovou acidurií · Boothův-Haworthův-Dillingův syndrom · Booth-Haworth-Dillingův syndrom
ukСиндром виснаження мітохондріальної ДНК, енцефаломіопатична форма з метилмалоновою ацидурієюСиндром Бута-Хауорта-Діллінга · Синдром мітохондріальної енцефаломіопатії-аміноацидопатії · Синдром виснаження мтДНК, енцефаломіопатична форма з метилмалоновою ацидурією
zh线粒体DNA耗竭综合征,脑肌病伴甲基丙二酸尿症型线粒体脑肌病-氨基酸代谢病综合征
trMitokondriyal DNA deplesyon sendromu, metilmalonik asidüri ile ensefalomyopatik formmtDNA tükenme sendromu, metilmalonik asidüri ile seyreden ensefalomiyopatik form · Booth-Haworth-Dilling sendromu · Mitokondriyal ensefalomiyopati-aminoasidopati sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM612073Evalidated
ICD-10G71.3NTBTattributedvalidated
ICD-115C53.20NTBTindexvalidated
MONDO0012791Evalidated
UMLSC2749864Evalidated
GARD3681Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SUCLA2Disease-causing germline mutation(s) inAssessedHGNC:11448ENSG0000013614360392113q14.2succinate-CoA ligase ADP-forming subunit beta17287286[PMID]_20301762[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated2738799[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_2738799[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

23 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000512Abnormal electroretinogram
HP:0000649Abnormality of visual evoked potentials
HP:0003355Aminoaciduria
HP:0001251Ataxia
HP:0000708Atypical behavior
HP:0004326Cachexia
HP:0002514Cerebral calcification
HP:0000762Decreased nerve conduction velocity
HP:0002194Delayed gross motor development
HP:0003236Elevated circulating creatine kinase concentration
HP:0002230Generalized hirsutism
HP:0001263Global developmental delay
HP:0001265Hyporeflexia
HP:0006887Intellectual disability, progressive
HP:0012120Methylmalonic aciduria
HP:0000252Microcephaly
HP:0000508Ptosis
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0004322Short stature
HP:0003202Skeletal muscle atrophy
HP:0002119Ventriculomegaly
HP:0000505Visual impairment

Run the differential on the 12 obligate / very frequent terms

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Sources for this card