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Living with Mitochondrial complex III deficiency

A genetic condition that can affect the brain, kidneys, liver, heart, and muscles, with symptoms ranging from mild to severe.

Understanding Mitochondrial complex III deficiency

Mitochondrial complex III deficiency is a genetic condition that can affect several parts of the body, including the brain, kidneys, liver, heart, and muscles.

Signs usually begin in infancy but can appear later. People who are mildly affected tend to have muscle weakness and extreme tiredness, especially with exercise. More severe cases involve several body systems, including liver disease, kidney problems, and brain dysfunction. Some have heart disease (cardiomyopathy). Most have a buildup of lactic acid in the body, and some have a buildup of ketones or high blood sugar.

Signs & symptoms

GARD doesn't list a set of most common symptoms for this condition. Its summary describes these features:

  • Muscle weakness (myopathy)
  • Extreme tiredness, especially with exercise
  • Liver disease
  • Kidney problems (tubulopathy)
  • Delayed mental and motor skills
  • Weak muscle tone (hypotonia)

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation, MitoAction and Muscular Dystrophy Association 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, Muscular Dystrophy Association
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
Can genetic testing find the cause and the inheritance pattern?
How are lactic acid and blood sugar levels monitored?
Which specialists should follow the liver, kidneys, heart, and brain?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive, Mitochondrial

Changes in genes (also called variants) cause this condition. GARD lists autosomal recessive and mitochondrial inheritance, but does not name a gene in this record.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: deficiency of isolated coq cytochrome c reductase; deficiency of mitochondrial complex iii; deficiency of ubiquinone cytochrome c oxidoreductase; isolated coenzyme q-cytochrome c reductase deficiency; isolated complex iii deficiency; isolated coq-cytochrome c reductase deficiency

Patient organizations

Source: NIH GARD · Mitochondrial complex III deficiencyGARD ID 8295 · 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 Mitochondrial complex III deficiency.

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