raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:551

MERRF

Synonyms: Fukuhara syndrome · Myoclonus epilepsy associated with ragged-red fibres

Type
Disease
Group
Disorder
Inheritance
Mitochondrial inheritance
Age of onset
Adult, Childhood
Status
active

A rare mitochondrial oxidative phosphorylation disorder characterized by myoclonic seizures, ataxia, generalized epilepsy, muscle weakness and ragged red fibers in the muscle biopsy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMERRFFukuhara syndrome · Myoclonus epilepsy associated with ragged-red fibres
frMERRFEpilepsie myoclonique avec "ragged-red-fibers" · Epilepsie myoclonique à fibres rouges en lambeaux · Syndrome de Fukuhara
deMERRFFukuhara-Syndrom · MERRF-Syndrom · Myoklonusepilepsie mit 'ragged-red-fibers'
esMERRFEpilepsia mioclónica asociada con fibras rojas rasgadas · Síndrome de Fukuhara
itMERRFEpilessia mioclonica con fibre rosse sfilacciate · Sindrome di Fukuhara
nlMERRFMyoclonische epilepsie met rafelige rode vezels · Myoclonusepilepsie met ragged red fibers · Syndroom van Fukuhara
ptMERRFEpilépsia mioclónica associada a fibras vermelhas · Síndrome Fukuhara
plMERRFPadaczka miokloniczna z nieprawidłowymi czerwonymi włóknami mięśniowymi · Zespół Fukuhara
csMERRFFukuharův syndrom · Myoklonická epilepsie s potrhanými červenými vlákny
ukMERRFСиндром Фукухари · Міоклонусна епілепсія, повязана з рваними червоними волокнами
zh肌阵挛性癫痫伴破碎红纤维综合征肌阵挛性癫痫伴碎红纤维
trMERRFFukuhara sendromu · Düzensiz kırmızı liflerle ilişkili miyoklonus epilepsisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM545000Evalidated
ICD-10G71.3NTBTattributedvalidated
ICD-118C73.YNTBTindexvalidated
MONDO0010790Evalidated
MeSHD017243Evalidated
UMLSC0162672Evalidated
GARD7144Evalidated
MedDRA10069825Evalidated

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 (9):

No children.

4

Genes

10 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MT-RNR1Candidate gene tested inNot yet assessedHGNC:7470ENSG00000211459561000mitochondriamitochondrially encoded 12S rRNA
MT-TQCandidate gene tested inNot yet assessedHGNC:7495ENSG00000210107590030mitochondriamitochondrially encoded tRNA-Gln (CAA/G)23179085[PMID]
MT-TS2Candidate gene tested inNot yet assessedHGNC:7498ENSG00000210184590085mitochondriamitochondrially encoded tRNA-Ser (AGU/C) 216950817[PMID]
MT-ND5Disease-causing germline mutation(s) inAssessedHGNC:7461ENSG00000198786516005mitochondriamitochondrially encoded NADH:ubiquinone oxidoreductase core subunit 5
MT-TFDisease-causing germline mutation(s) inAssessedHGNC:7481ENSG00000210049590070mitochondriamitochondrially encoded tRNA-Phe (UUU/C)15184630[PMID]
MT-THDisease-causing germline mutation(s) inAssessedHGNC:7487ENSG00000210176590040mitochondriamitochondrially encoded tRNA-His (CAU/C)14967777[PMID]
MT-TKDisease-causing germline mutation(s) inAssessedHGNC:7489ENSG00000210156590060mitochondriamitochondrially encoded tRNA-Lys (AAA/G)20301693[PMID]
MT-TL1Disease-causing germline mutation(s) inAssessedHGNC:7490ENSG00000209082590050mitochondriamitochondrially encoded tRNA-Leu (UUA/G) 18254046[PMID]
MT-TPDisease-causing germline mutation(s) inAssessedHGNC:7494ENSG00000210196590075mitochondriamitochondrially encoded tRNA-Pro (CCN)19273760[PMID]_27816331[PMID]
MT-TS1Disease-causing germline mutation(s) inAssessedHGNC:7497ENSG00000210151590080mitochondriamitochondrially encoded tRNA-Ser (UCN) 17669057[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.494 / 100 000SwedenValue and classValidated11261513[PMID]
Point prevalenceUnknown—EuropeClass onlyValidatedORPHANET

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

11 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100022Abnormality of movement
HP:0001251Ataxia
HP:0003457EMG abnormality
HP:0002123Generalized myoclonic seizure
HP:0003198Myopathy
HP:0003200Ragged-red muscle fibers
HP:0000407Sensorineural hearing impairment
Frequent (79-30%)
HP:0100543Cognitive impairment
HP:0001012Multiple lipomas
HP:0000648Optic atrophy
HP:0004322Short stature

Run the differential on the 7 obligate / very frequent terms

7

Sources for this card