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Living with Lethal infantile mitochondrial myopathy

A rare inherited energy-production (mitochondrial) condition of infancy that weakens muscles and affects eye movement.

Understanding Lethal infantile mitochondrial myopathy

Lethal infantile mitochondrial myopathy is a rare inherited condition in which the cells' energy factories (mitochondria) don't work well, affecting muscles.

It causes growing floppiness (low muscle tone), gradual weakness of eye muscles, and a buildup of lactic acid. Babies may be very sleepy and have absent reflexes. Heart, kidney, liver problems, and seizures may also occur. It begins in newborns and infants.

Signs & symptoms

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

  • Heart muscle disease (cardiomyopathy)
  • Gradual weakness of eye muscles
  • Kidney problems (renal insufficiency)
  • Severe delay in development

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. Consider genetic testing

    Changes in MT-TT 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
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
Would MT-TT gene testing help our family?
Which specialists should monitor the heart, kidneys, and liver?
How does mitochondrial inheritance affect other relatives?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceMitochondrial
GenesMT-TT

It is caused by changes in the MT-TT gene and is inherited in a mitochondrial pattern.

GeneticInherited MetabolicMitochondrial

Also known as: infantile myopathy and lactic acidosis (fatal and non-fatal forms); lethal infantile mitochondrial disease; limd; limm

Patient organizations

Source: NIH GARD · Lethal infantile mitochondrial myopathyGARD ID 17226 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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