raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:70472

Congenital lactic acidosis, Saguenay-Lac-Saint-Jean type

Synonyms: COX deficiency, French-Canadian type · Cytochrome C oxidase deficiency, French-Canadian type · Cytochrome oxidase deficiency, Saguenay-Lac-Saint-Jean type · Leigh syndrome, French-Canadian type · Leigh syndrome, Saguenay-Lac-Saint-Jean type · SLSJ-COX deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare degenerative mitochondrial disease characterized by chronic metabolic acidosis, hypotonia, facial dysmorphism and delayed development.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital lactic acidosis, Saguenay-Lac-Saint-Jean typeCOX deficiency, French-Canadian type · Cytochrome C oxidase deficiency, French-Canadian type · Cytochrome oxidase deficiency, Saguenay-Lac-Saint-Jean type · Leigh syndrome, French-Canadian type · Leigh syndrome, Saguenay-Lac-Saint-Jean type · SLSJ-COX deficiency
frAcidose lactique congénitale type Saguenay-Lac-Saint-JeanDéficit en COX type franco-canadien · Déficit en SLSJ-COX · Déficit en cytochrome oxydase C type franco-canadien · Maladie du Saguenay-Lac-Saint-Jean par déficit en cytochrome oxydase · Syndrome de Leigh type franco-canadien
deLaktatazidose, kongenitale, Typ Saguenay-Lac-St. JeanCOX-Mangel, französisch-kanadischer Typ · Cytochrom-c-Oxidase-Mangel Typ Saguenay-Lac-St.Jean · Cytochrom-c-Oxidase-Mangel, französisch-kanadischer Typ · Leigh-Syndrom, Saguenay-Lac-St.Jean Typ · Leigh-Syndrom, französisch-kanadischer Typ · SLSJ-COX-Mangel
esAcidosis láctica congénita tipo Saguenay-Lac-Saint-JeanDeficiencia de COX tipo franco-canadiense · Deficiencia de COX-SLSJ · Deficiencia de citocromo C oxidasa tipo franco-canadiense · Deficiencia de citocromo oxidasa tipo Saguenay-Lac-Saint-Jean · Síndrome de Leigh tipo Saguenay-Lac-Saint-Jean · Síndrome de Leigh tipo franco-canadiense
itAcidosi lattica congenita, tipo Saguenay-Lac-Saint-JeanDeficit di COX, tipo franco-canadese · Deficit di SLSJ-COX · Deficit di citocromo C ossidasi, tipo franco-canadese · Deficit di citocromo ossidasi di Saguenay-Lac-St. Jean · Deficit di citocromo ossidasi, tipo Saguenay-Lac-Saint-Jean · Sindrome di Leigh, tipo Saguenay-Lac-Saint-Jean type · Sindrome di Leigh, tipo franco-canadese
nlCongenitale lactaatacidose, Saguenay-Lac-Saint-Jean-typeCOX-deficiëntie, Frans-Canadees type · Deficiëntie van cytochroom C oxidase, Frans-Canadees type · Deficiëntie van cytochroomoxidase, Saguenay-Lac-Saint-Jean-type · SLSJ-COX-deficiëntie · Syndroom van Leigh, Frans-Canadees type · Syndroom van Leigh, Saguenay-Lac-Saint-Jean-type
ptAcidose láctica congénita, tipo Saguenay-Lac-Saint-JeanDeficiência de COX tipo franco-canadiano · Deficiência de SLSJ-COX · Deficiência de citocromo c oxidase tipo franco-canadiano · Síndrome de Leigh tipo Sanguenay-Lac-St. Jean · Síndrome de Leigh tipo franco-canadiano
plWrodzona kwasica mleczanowa, typ Saguenay, Lac i St. JeanNiedobór COX, typ francusko-kanadyjski · Niedobór oksydazy cytochromowej, typ Saguenay, Lac i St. Jean · Niedobór oksydazy cytochromu C, typ francusko -kanadyjski · Niedobór SLSJ-COX · Zespół Leigha, typ francusko -kanadyjski · Zespół Leigha, typ Saguenay, Lac i St. Jean
csVrozená laktátová acidóza, typ Saguenay-Lac-Saint-JeanDeficit COX, francouzsko-kanadský typ · Deficit cytochrom C oxidázy, francouzsko-kanadský typ · Deficit cytochrom C oxidázy, typ Saguenay-Lac-Saint-Jean · Deficit SLSJ-COX · Leighův syndrom, francouzsko-kanadský typ · Leighův syndrom, typ Saguenay-Lac-Saint-Jean
ukВроджений молочнокислий ацидоз, тип Шагене-Лак-Сен-ЖанДефіцит COX, франко-канадський тип · Дефіцит оксидази цитохрому С, франко-канадський тип · Дефіцит цитохромоксидази, тип Saguenay-Lac-Saint-Jean · Синдром Лі, франко-канадський тип · Синдром Лі, тип Saguenay-Lac-Saint-Jean · Дефіцит SLSJ-COX
zh先天性乳酸酸中毒,Saguenay-Lac-Saint-Jean型细胞色素C氧化酶缺乏,Saguenay-Lac-Saint-Jean型
trDoğumsal laktik asidoz, Saguenay-Lac-Saint-Jean tipiSLSJ-COX eksikliği · COX eksikliği, Fransız-Kanada tipi · Leigh sendromu, Fransız-Kanada tipi · Leigh sendromu, Saguenay-Lac-Saint-Jean tipi · Sitokrom C oksidaz eksikliği, Fransız-Kanada tipi · Sitokrom oksidaz eksikliği, Saguenay-Lac-Saint-Jean tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM220111BTNTvalidated
OMIM619065BTNTvalidated
ICD-10G31.8NTBTattributedvalidated
ICD-115C53.24NTBTindexvalidated
MONDO0009069Evalidated
MeSHC537004Evalidated
UMLSC1857355Evalidated
GARD8370Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LRPPRCDisease-causing germline mutation(s) inAssessedHGNC:15714ENSG000001380956075442p21leucine rich pentatricopeptide repeat containing12529507[PMID]
5

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

45 annotations · validated 2021-09-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0008347Decreased activity of mitochondrial complex IV
HP:0001508Failure to thrive
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0002490Increased CSF lactate
HP:0002151Increased circulating lactate concentration
HP:0003128Lactic acidosis
HP:0001942Metabolic acidosis
HP:0002401Stroke-like episode
Frequent (79-30%)
HP:0100022Abnormality of movement
HP:0001251Ataxia
HP:0002072Chorea
HP:0003688Cytochrome C oxidase-negative muscle fibers
HP:0001410Decreased liver function
HP:0002376Developmental regression
HP:0011203EEG with abnormally slow frequencies
HP:0007183Focal T2 hyperintense basal ganglia lesion
HP:0001397Hepatic steatosis
HP:0001639Hypertrophic cardiomyopathy
HP:0002540Inability to walk
HP:0010841Multifocal epileptiform discharges
HP:0001324Muscle weakness
HP:0009830Peripheral neuropathy
HP:0002465Poor speech
HP:0002344Progressive neurologic deterioration
HP:0001250Seizure
HP:0001257Spasticity
Occasional (29-5%)
HP:0002060Abnormal cerebral morphology
HP:0001999Abnormal facial shape
HP:0001627Abnormal heart morphology
HP:0012243Abnormal reproductive system morphology
HP:0000248Brachycephaly
HP:0010536Central sleep apnea
HP:0001635Congestive heart failure
HP:0100660Dyskinesia
HP:0002015Dysphagia
HP:0002020Gastroesophageal reflux
HP:0011471Gastrostomy tube feeding in infancy
HP:0007325Generalized dystonia
HP:0001290Generalized hypotonia
HP:0005599Hypopigmentation of hair
HP:0002870Obstructive sleep apnea
HP:0002310Orofacial dyskinesia
HP:0002878Respiratory failure

Run the differential on the 10 obligate / very frequent terms

Annotation source: 29152527[PMID]_26425749[PMID]

7

Sources for this card