raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:254864

Mitochondrial myopathy with reversible cytochrome C oxidase deficiency

Synonyms: Benign COX deficiency · Infantile reversible cytochrome C oxidase deficiency myopathy · Mitochondrial myopathy with reversible COX deficiency · Mitochondrial myopathy with reversible complex IV deficiency · Reversible infantile cytochrome C oxidase deficiency · Reversible infantile respiratory chain deficiency

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

A rare, genetic, mitochondrial oxidative phosphorylation disorder characterized by a potentially life-threatening, severe myopathy manifesting in the neonatal to early infantile period, followed by marked, spontaneous improvement of muscular function by early childhood. Associated biochemical findings include lactic acidosis and a transient, marked decrease in respiratory chain activity.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMitochondrial myopathy with reversible cytochrome C oxidase deficiencyBenign COX deficiency · Infantile reversible cytochrome C oxidase deficiency myopathy · Mitochondrial myopathy with reversible COX deficiency · Mitochondrial myopathy with reversible complex IV deficiency · Reversible infantile cytochrome C oxidase deficiency · Reversible infantile respiratory chain deficiency
frMyopathie mitochondriale avec déficit réversible en cytochrome C oxydaseMyopathie mitochondriale avec déficit réversible en COX · Myopathie mitochondriale avec déficit réversible en complexe IV
deMyopathie, mitochondriale, mit reversiblem Cytochrom-c-Oxidase-MangelAtmungsketten-Störung, infantile reversible Form · COX-Mangel, benigner · Cytochrom-c-Oxidase-Mangel des Kindes, reversibel · Myopathie, mitochondriale, mit reversiblem COX-Mangel · Myopathie, mitochondriale, mit reversiblem Komplex IV-Mangel
esMiopatía mitocondrial con deficiencia reversible de citocromo C oxidasaDeficiencia benigna de COX · Deficiencia reversible de citocromo C oxidasa del lactante · Deficiencia reversible de la cadena respiratoria del lactante · Miopatía con deficiencia reversible de citocromo C oxidasa del lactante · Miopatía mitocondrial con deficiencia reversible de COX · Miopatía mitocondrial con deficiencia reversible de complejo IV
itMiopatia mitocondriale con deficit reversibile di citocromo C ossidasi
nlMitochondriale myopathie met omkeerbare cytochroom C-oxidasedeficiëntieGoedaardige COX-deficiëntie · Infantiele omkeerbare cytochroom C-oxidasedeficiëntiemyopathie · Mitochondriale myopathie met omkeerbare COX-deficiëntie · Mitochondriale myopathie met omkeerbare complex IV-deficiëntie · Omkeerbare infantiele ademhalingsketendeficiëntie · Omkeerbare infantiele cytochroom C-oxidasedeficiëntie
ptMiopatia mitocondrial com deficiência reversível de citocromo C oxidaseMiopatia mitocondrial com deficiência da COX reversível · Miopatia mitocondrial com deficiência do complexo IV reversível
plMiopatia mitochondrialna z odwracalnym niedoborem oksydazy cytochromu cDziecięcy odwracalny Niedobór oksydazy cytochromu c · Łagodny Niedobór COX · Miopatia mitochondrialna z odwracalnym niedoborem COX · Miopatia mitochondrialna z odwracalnym niedoborem kompleksu IV
csMitochondriální myopatie s reverzibilním deficitem cytochrom C oxidázyBenigní COX deficit · Mitochondriální myopatie s reverzibilním deficitem COX · Mitochondriální myopatie s reverzibilním deficitem komplexu IV · Dětská myopatie s reverzibilním deficitem cytochrom C oxidázy · Dětský reverzibilní deficit cytochrom C oxidázy · Dětský reverzibilní deficit respiračního řetězce
ukМітохондріальна міопатія з оборотним дефіцитом цитохрому С оксидазиДоброякісний дефіцит COX · Інфантильна оборотна міопатія з дефіцитом цитохрому С оксидази · Мітохондріальна міопатія з оборотним дефіцитом комплексу IV · Мітохондріальна міопатія з оборотним дефіцитом COX · Зворотний дефіцит оксидази цитохрому С у дітей · Оборотна дитяча дихальна недостатність дихального ланцюга
zh线粒体肌病伴可逆性细胞色素C氧化酶缺乏症婴儿可逆性细胞色素C氧化酶缺乏性肌病
trTersinir sitokrom C oksidaz eksikliği ile seyreden mitokondriyal miyopatiSelim COX eksikliği · Reversibl infantil solunum zinciri eksikliği · Reversibl infantil sitokrom C oksidaz eksikliği · Reversibl COX eksikliği ile mitokondriyal miyopati · Reversibl kompleks IV eksikliği olan mitokondriyal miyopati · İnfantil geri dönüşümlü sitokrom C oksidaz eksikliği miyopatisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM500009Evalidated
ICD-10G71.3NTBTattributedvalidated
ICD-118C73.YNTBTindexvalidated
MONDO0010780Evalidated
UMLSC5191317Evalidated

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 (1):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MT-TEDisease-causing germline mutation(s) inAssessedHGNC:7479ENSG00000210194590025mitochondriamitochondrially encoded tRNA-Glu (GAA/G)19720722[PMID]
TRMUDisease-causing germline mutation(s) inAssessedHGNC:25481ENSG0000010041661023022q13.31tRNA mitochondrial 2-thiouridylase21931168[PMID]
5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

24 annotations · validated 2019-02-18
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003688Cytochrome C oxidase-negative muscle fibers
HP:0001290Generalized hypotonia
HP:0009051Increased muscle glycogen content
HP:0009058Increased muscle lipid content
HP:0001324Muscle weakness
HP:0003198Myopathy
HP:0003200Ragged-red muscle fibers
Frequent (79-30%)
HP:0011923Decreased activity of mitochondrial complex I
HP:0001265Hyporeflexia
HP:0008180Mildly elevated creatine kinase
HP:0002098Respiratory distress
HP:0004900Severe lactic acidosis
Occasional (29-5%)
HP:0001626Abnormality of the cardiovascular system
HP:0001392Abnormality of the liver
HP:0000707Abnormality of the nervous system
HP:0003234Decreased circulating carnitine concentration
HP:0002240Hepatomegaly
HP:0000218High palate
HP:0000158Macroglossia
HP:0011470Nasogastric tube feeding in infancy
HP:0002033Poor suck
HP:0004887Respiratory failure requiring assisted ventilation
HP:0005946Ventilator dependence with inability to wean
Very rare (<4-1%)
HP:0002194Delayed gross motor development

Run the differential on the 7 obligate / very frequent terms

Annotation source: 21194154[PMID]_19720722[PMID]_21931168[PMID]_1325759[PMID]_3025776[PMID]_6312869[PMID]_4273245[PMID]

7

Sources for this card