raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:238329

Severe X-linked mitochondrial encephalomyopathy

Synonyms: Mitochondrial encephalomyopathy due to COXPD6 · Mitochondrial encephalomyopathy due to combined oxidative phosphorylation defect 6

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

Severe X-linked mitochondrial encephalomyopathy is an extremely rare mitochondrial respiratory chain disease resulting in a neurodegenerative disorder characterized by psychomotor delay, hypotonia, areflexia, muscle weakness and wasting in the two patients reported to date.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSevere X-linked mitochondrial encephalomyopathyMitochondrial encephalomyopathy due to COXPD6 · Mitochondrial encephalomyopathy due to combined oxidative phosphorylation defect 6
frEncéphalomyopathie mitochondriale sévère liée à l'XEncéphalomyopathie mitochondriale due à COXPD6 · Encéphalomyopathie mitochondriale due à un déficit combiné de la phosphorylation oxydative de type 6
deEnzephalomyopathie, mitochondriale, schwere, X-chromosomaleCOXPD6 · Enzephalomyopathie, mitochondriale, durch COXPD6 · Enzephalomyopathie, mitochondriale, durch kombinierten Defekt der oxidativen Phosphorylierung Typ 6
esEncefalomiopatía mitocondrial grave ligada al cromosoma XEncefalomiopatía mitocondrial por COXPD6 · Encefalomiopatía mitocondrial por deficiencia combinada de la fosforilación oxidativa tipo 6
itEncefalomiopatia mitocondriale grave legata all'XEncefalomiopatia mitocondriale da COXPD6 · Encefalomiopatia mitocondriale da difetto combinato della fosforilazione ossidativa 6
nlErnstige X-gebonden mitochondriale encefalomyopathieMitochondriale encefalomyopathie door COXPD6 · Mitochondriale encefalomyopathie door gecombineerde oxidatieve fosforylatiedeficiëntie type 6
ptEncefalomiopatia mitocondrial grave ligada ao X
plCiężka encefalomiopatia mitochondrialna sprzężona z chromosomem XEncefalopatia mitochondrialna spowodowana COXPD6 · Encefalomiopatia mitochondrialna spowodowana złożonym defektem fosforylacji oksydacyjne 6
csTěžká X-vázaná mitochondriální encefalomyopatieMitochondriální encefalomyopatie kombinovaným deficitem oxidativní fosforylace 6 · Mitochondriální encefalomyopatie způsobená COXPD6
ukТяжка Х-зчеплена мітохондріальна енцефаломіопатіяМітохондріальна енцефаломіопатія внаслідок комбінованого дефекту окисного фосфорилювання 6 · Мітохондріальна енцефаломіопатія, спричинена COXPD6
zh重症X连锁线粒体脑肌病联合氧化磷酸化缺陷6型所致重症X连锁线粒体脑肌病
trAğır X'e bağlı mitokondriyal ensefalomiyopatiCOXPD6'ya bağlı mitokondriyal ensefalomiyopati · Kombine oksidatif fosforilasyon defekti 6'ya bağlı mitokondriyal ensefalomiyopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300816Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.23NTBTindexvalidated
MONDO0010437Evalidated
UMLSC4302745Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AIFM1Disease-causing germline mutation(s) inAssessedHGNC:8768ENSG00000156709300169Xq26.1apoptosis inducing factor mitochondria associated 120362274[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20362274[PMID]
Cases/families2 casesWorldwideCase(s)Validated20362274[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 2017-02-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010994Abnormal corpus striatum morphology
HP:0001284Areflexia
HP:0000750Delayed speech and language development
HP:0001290Generalized hypotonia
HP:0003324Generalized muscle weakness
HP:0003557Increased variability in muscle fiber diameter
HP:0011343Moderate global developmental delay
HP:0009830Peripheral neuropathy
HP:0003390Sensory axonal neuropathy
HP:0006829Severe muscular hypotonia
HP:0003202Skeletal muscle atrophy
Frequent (79-30%)
HP:0002376Developmental regression
HP:0002375Hypokinesia
HP:0002490Increased CSF lactate
HP:0002151Increased circulating lactate concentration
HP:0003542Increased circulating pyruvate concentration
HP:0009025Increased connective tissue
HP:0004305Involuntary movements
HP:0000737Irritability
HP:0002098Respiratory distress
HP:0002093Respiratory insufficiency
HP:0001308Tongue fasciculations
Occasional (29-5%)
HP:0008872Feeding difficulties in infancy

Run the differential on the 11 obligate / very frequent terms

Annotation source: 20362274[PMID]

7

Sources for this card