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Any progressive external ophthalmoplegia with mitochondrial DNA deletions in which the cause of the disease is a mutation in the RNASEH1 gene.
Features include always present findings: Unsteady gait, Muscle weakness, Difficulty swallowing (dysphagia), and Progressive external ophthalmoplegia; and common findings: Shrinkage of the cerebellum (cerebellar atrophy), Cytochrome C oxidase-negative muscle fibers, Ragged-red muscle fibers, and Increased circulating lactate concentration and others. 42 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 17 | Clonus, Cerebral cortical atrophy, Ataxia |
Muscles | 12 | Shrinkage of the cerebellum (cerebellar atrophy), Cerebral cortical atrophy, Muscle spasm |
Lab test results | 2 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Increased circulating lactate concentration |
Eyes | 2 | Bilateral ptosis, Ptosis |
Bones and joints | 2 | Skeletal muscle atrophy, Postural instability |
Heart and blood vessels | 1 | Complete right bundle branch block |
Arms and legs | 1 | Lower limb muscle weakness |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
RNASEH1 function has not been fully characterized.
Progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal recessive 2 is associated with mutations in the RNASEH1 gene on chromosome 2.
Genetic testing for RNASEH1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 4 always present features, 6 common features.
No clinical trials have been registered for progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal recessive 2.
1 publication has been identified in PubMed for progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal recessive 2. Research spans Case Report / Case Series (100%).
Messina C (2025). [PMID: 40524992](https://pubmed.ncbi.nlm.nih.gov/40524992/). *Cureus*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 9:33 PM UTC
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