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Living with Mevalonic aciduria

The severe form of mevalonate kinase deficiency, with repeated fevers from infancy, developmental delay, and other signs.

Understanding Mevalonic aciduria

Mevalonic aciduria is the severe form of mevalonate kinase deficiency, a condition with repeated fevers that begin in infancy.

During fevers, people may have an enlarged liver and spleen, swollen lymph nodes, belly pain, diarrhea, joint pain, and skin rashes. Ongoing issues include developmental delay, worsening unsteadiness, worsening vision, a small elongated head, and poor growth. The milder form is hyperimmunoglobulinemia D syndrome (HIDS).

Signs & symptoms

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

  • Repeated fevers
  • Developmental delay and intellectual disability
  • Unsteady movement (ataxia)
  • Small head (microcephaly)
  • Cataracts
  • Enlarged spleen and low muscle tone

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 autoimmune and inflammatory disease specialists, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

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

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); 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 Children's Skin Disease Foundation
  • 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
Should family members have MVK genetic testing?
How can fever episodes be managed?
Which specialists should follow eyes, brain, and immune health?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesMVK

Changes in the MVK gene cause too little of the enzyme mevalonate kinase. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkinInherited Metabolic

Also known as: complete mevalonate kinase deficiency; hids; hyperimmunoglobulin d with periodic fever syndrome; meva; mevalonicaciduria; mkd

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Mevalonic aciduriaGARD ID 3588 · 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 Mevalonic aciduria.

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Explore research for Mevalonic aciduria

Explore actively recruiting Mevalonic aciduria studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
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  • 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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