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Living with Deficiency of isobutyryl-CoA dehydrogenase

A condition in which the body has trouble breaking down the amino acid valine. Most people have no symptoms.

Understanding Deficiency of isobutyryl-CoA dehydrogenase

Deficiency of isobutyryl-CoA dehydrogenase (IBD deficiency) is a condition in which the body has trouble breaking down the amino acid valine.

Most people with IBD deficiency have no signs or symptoms. When symptoms appear, they usually show early in life and last a short time. Because it is rare and often causes no symptoms, it is hard to know if health problems in affected people are caused by it.

Signs & symptoms

Most people have no symptoms. GARD's summary lists these possible signs:

  • Low muscle tone (hypotonia)
  • Developmental delays
  • Slow growth
  • Low red blood cell count (anemia)
  • Seizures

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 and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in ACAD8 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

    Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Cardiomyopathy Foundation
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 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
What does this diagnosis mean if my child has no symptoms?
Does my child need any diet changes?
Can genetic testing of the ACAD8 gene help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesACAD8

Changes in the ACAD8 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: acad8 deficiency; acad8-gene related deficiency of isobutyryl-coenzyme a dehydrogenase; acyl-coa dehydrogenase family, member 8, deficiency of; deficiency of isobutyryl-coenzyme a dehydrogenase; ibd deficiency; isobutyric aciduria

Patient organizations

Source: NIH GARD · Deficiency of isobutyryl-CoA dehydrogenaseGARD ID 10223 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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