raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:329314

Adult-onset multiple mitochondrial DNA deletion syndrome due to DGUOK deficiency

Synonyms: Adult-onset multiple mtDNA deletion syndrome due to DGUOK deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adult
Status
active

An extremely rare multiple mitochondrial DNA deletion syndrome with markedly decreased deoxyguanosine kinase (DGUOK) activity in skeletal muscle characterized by a highly variable phenotype. Clinical manifestations include progressive external ophthalmoplegia, mitochondrial myopathy, recurrent rhabdomyolysis, lower motor neuron disease, mild cognitive impairment, sensory axonal neuropathy, optic atrophy, ataxia, hypogonadism and/or parkinsonism.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAdult-onset multiple mitochondrial DNA deletion syndrome due to DGUOK deficiencyAdult-onset multiple mtDNA deletion syndrome due to DGUOK deficiency
frSyndrome de délétions multiples de l'ADN mitochondrial de l'adulte par déficit en DGUOKSyndrome de délétions multiples de l'ADNmt de l'adulte par déficit en DGUOK
deMultiples mitochondriales DNA-Deletionssyndrom durch DGUOK-Mangel des ErwachsenenMultiples mtDNA-Deletionssyndrom durch DGUOK-Mangel mit Beginn im Erwachsenenalter
esSíndrome de deleción múltiple del ADN mitocondrial por deficiencia de DGUOK de inicio en el adultoSíndrome de deleción múltiple del ADNmt por deficiencia de DGUOK en el adulto
itSindrome da delezioni multiple del DNA mitocondriale da deficit di DGUOK a esordio nell'età adultaSindrome da delezioni multiple di mtDNA da deficit di DGUOK
nlMeervoudig mitochondriaal DNA-deletiesyndroom door DGUOK-deficiëntie met aanvang op volwassen leeftijdMeervoudig mtDNA-deletie syndroom door DGUOK-deficiëntie met aanvang op volwassen leeftijd
ptSíndrome de deleções múltiplas do ADN mitocondrial por deficiência de DGUOK com início no adultoSíndrome de deleções múltiplas do ADNmt por deficiência de DGUOK com início no adulto
plZespół mnogich delecji mitochondrialnego DNA z powodu deficytu DGUOK o początku w wieku dorosłymZespół mnogich delecji mtDNA z powodu deficytu DGUOK o początku w wieku dorosłym
csSyndrom mnohočetné mitochondriální DNA delece se začátkem v dospělosti způsobený DGUOK deficitemSyndrom mnohočetné mt DNA delece se začátkem v dospělosti způsobený DGUOK deficitem
ukСиндром множинної делеції мітохондріальної ДНК у дорослих, зумовлений дефіцитом DGUOKСиндром множинної делеції мтДНК у дорослих, спричинений дефіцитом DGUOK
zhDGUOK缺陷致成人发病型多发性线粒体DNA缺失综合征DGUOK缺陷致成人发病型多发性mtDNA缺失综合征
trDGUOK eksikliğine bağlı yetişkin başlangıçlı çoklu mitokondriyal DNA delesyon sendromuDGUOK eksikliğine bağlı erişkin başlangıçlı çoklu mtDNA delesyon sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617070Evalidated
ICD-10G71.3NTBTattributedvalidated
ICD-115C53.21NTBTattributedvalidated
MONDO0014899Evalidated
UMLSC4518838Evalidated

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
DGUOKDisease-causing germline mutation(s) inAssessedHGNC:2858ENSG000001149566014652p13.1deoxyguanosine kinase23043144[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

21 annotations · validated 2019-01-22
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0008615Adult onset sensorineural hearing impairment
HP:0001488Bilateral ptosis
HP:0002015Dysphagia
HP:0003797Limb-girdle muscle atrophy
HP:0003325Limb-girdle muscle weakness
HP:0007340Lower limb muscle weakness
HP:0000590Progressive external ophthalmoplegia
HP:0003390Sensory axonal neuropathy
Occasional (29-5%)
HP:0025406Asthenia
HP:0001251Ataxia
HP:0000518Cataract
HP:0100543Cognitive impairment
HP:0000726Dementia
HP:0000716Depression
HP:0001618Dysphonia
HP:0003394Muscle spasm
HP:0003326Myalgia
HP:0000648Optic atrophy
HP:0003749Pelvic girdle muscle weakness
HP:0000486Strabismus
HP:0003558Viral infection-induced rhabdomyolysis

Annotation source: 23043144[PMID]_27858775[PMID]_30283818[PMID]

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Sources for this card