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Living with 3-Hydroxyisobutyric aciduria

A rare metabolic condition in which the body cannot break down certain amino acids, with developmental delay and brain differences.

Understanding 3-Hydroxyisobutyric aciduria

3-Hydroxyisobutyric aciduria is a rare metabolic condition in which the body cannot break down certain amino acids.

This leads to a toxic buildup of organic acids in the blood, tissues, and urine. Signs include developmental delay, distinct facial features, and brain differences. The exact cause is not well understood. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low sex hormones (hypogonadotropic hypogonadism)
  • Long space between nose and mouth (philtrum)
  • Small ears (microtia)
  • Triangular face

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Organic Acidemia Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing of the ALDH6A1 gene help us?
Which specialists should follow my child's brain development?
Should hormone levels be checked as my child grows?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

Some cases may be caused by changes in the ALDH6A1 gene and inherited in an autosomal recessive way. The exact cause is not well understood.

GeneticInherited Metabolic

Patient organizations

Source: NIH GARD · 3-Hydroxyisobutyric aciduriaGARD ID 5662 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with 3-Hydroxyisobutyric aciduria.

Explore the 3-Hydroxyisobutyric aciduria blog

Explore research for 3-Hydroxyisobutyric aciduria

Explore actively recruiting 3-Hydroxyisobutyric aciduria studies with HealthSpark.

HealthSpark

Find actively recruiting studies for 3-Hydroxyisobutyric aciduria with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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