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Living with HSD10 mitochondrial disease

A genetic condition affecting the nervous system, vision, and heart, usually more severe in males.

Understanding HSD10 mitochondrial disease

HSD10 mitochondrial disease is a genetic condition that affects the nervous system, vision, and heart.

It is typically more severe in males. In the infantile type, early development seems normal, then skills are lost, often between ages 1 and 2. In the neonatal type, severe neurological problems start at birth. Males often have low muscle tone, seizures, vision loss, and weakened heart muscle (cardiomyopathy). Females may have developmental delay or learning problems, but do not lose skills.

Signs & symptoms

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

  • Delayed speech and language
  • Global developmental delay
  • Loss of learned skills (regression)
  • Gradual vision loss
  • Seizures
  • Learning disability

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 HSD17B10 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 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
How often should my heart and vision be checked?
What support could help with development and learning?
Would genetic testing for HSD17B10 help our family?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceX-Linked, Mitochondrial
GenesHSD17B10

Changes in the HSD17B10 gene cause this condition. GARD lists X-linked and mitochondrial inheritance.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: 17-beta-hydroxysteroid dehydrogenase 10 deficiency; 17-beta-hydroxysteroid dehydrogenase x deficiency; 2-methyl-3-hydroxybutyric aciduria; 2-methyl-3-hydroxybutyryl-coa dehydrogenase deficiency; 2m3hba; 3-hydroxy-2-methylbutyryl-coa dehydrogenase deficiency

Patient organizations

Source: NIH GARD · HSD10 mitochondrial diseaseGARD ID 10716 · 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 HSD10 mitochondrial disease.

Explore the HSD10 mitochondrial disease blog

Explore research for HSD10 mitochondrial disease

Explore actively recruiting HSD10 mitochondrial disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for HSD10 mitochondrial disease 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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