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Living with Autosomal dominant mitochondrial myopathy with exercise intolerance

A rare inherited muscle condition with weakness and trouble with exercise, starting in the first decade of life.

Understanding Autosomal dominant mitochondrial myopathy with exercise intolerance

Autosomal dominant mitochondrial myopathy with exercise intolerance is a rare muscle condition caused by problems in the cell's energy-making parts (mitochondria).

It begins in the first decade of life with slowly worsening weakness in the upper legs and trouble with exercise. Weakness later spreads to the neck, shoulders, and lower legs, and still later the face. Lung function may be restricted and height may be short. Blood tests show high lactic acid and creatine kinase.

Signs & symptoms

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

  • Trouble with exercise
  • Weakness in the upper legs
  • Weakness in the lower legs
  • Neck muscle weakness
  • Weakness in facial muscles
  • Short stature

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CHCHD10 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
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 United Mitochondrial Disease Foundation and other patient organizations
  • 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
Which activity and exercise plan is safe for me?
How are my breathing muscles monitored?
Would CHCHD10 testing help my relatives?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant, Mitochondrial
GenesCHCHD10

GARD says changes in the CHCHD10 gene cause this condition. It lists autosomal dominant and mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: immd; myopathy, isolated mitochondrial, autosomal dominant

Patient organizations

Source: NIH GARD · Autosomal dominant mitochondrial myopathy with exercise intoleranceGARD ID 17794 · 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 Autosomal dominant mitochondrial myopathy with exercise intolerance.

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