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Living with Proximal myopathy with focal depletion of mitochondria

A rare genetic muscle disease with mild, slowly worsening weakness and muscle pain with exercise.

Understanding Proximal myopathy with focal depletion of mitochondria

Proximal myopathy with focal depletion of mitochondria is a rare genetic neuromuscular disease.

It causes mild weakness that slowly worsens, in muscles close to the center of the body. It starts late, from childhood to adulthood. Muscle pain during and after exercise can be severe, and muscle breakdown (rhabdomyolysis) can occur. Intellectual disability is mild or absent, and the skin is not affected.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary describes these features:

  • Mild, slowly worsening weakness near the body's center
  • Severe muscle pain during and after exercise
  • Muscle breakdown (rhabdomyolysis)
  • Mild or no intellectual 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 CHKB 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 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, 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
Would genetic testing for the CHKB gene help confirm the diagnosis?
How can I manage muscle pain with exercise?
What should I know about the risk of muscle breakdown?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
GenesCHKB

This condition is caused by changes in the CHKB gene.

GeneticNeurological

Patient organizations

Source: NIH GARD · Proximal myopathy with focal depletion of mitochondriaGARD ID 17956 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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