hepatocerebral mitochondrial DNA depletion syndrome (ARHCMDS)
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Introduction
clinically heterogeneous group of disorders
Pathology
- may affect single organs, typically muscle or liver, or multiple tissues
- increased lactate in body fluids
Genetics
- associated with defects in MPV17, DGUOK, or C10ORF2
- reduction in mitochondrial DNA (mtDNA) copy number
- primary mtDNA depletion is inherited as an autosomal recessive trait
Clinical manifestations
- early progressive liver failure & neurologic abnormalities