Main clinical features
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mitochondrial disorder characterized by childhood onset of slowly progressive hypertrophic cardiomyopathy and generalized skeletal myopathy resulting in exercise intolerance with muscle weakness and atrophy
skeletal muscle biopsy shows ragged red fibers, mtDNA depletion, and accumulation of abnormal mitochondria
including dominant forms with severe congenital hypotonia and profound muscle weakness necessitating artificial ventilation, and death in early infancy (PMID: 27693233)) |