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MELAS syndrome
1 OMIM reference -
14 associated genes
60 connected diseases
118 signs/symptoms
Disease Type of connection
Maternally-inherited Leigh syndrome
MERRF syndrome
Leber hereditary optic neuropathy
Isolated cytochrome C oxidase deficiency
Mitochondrial nonsyndromic sensorineural deafness with susceptibility to aminoglycoside exposure
Mitochondrial nonsyndromic sensorineural deafness
Genetic recurrent myoglobinuria
Leber 'plus' disease
Sporadic Leigh syndrome
LIG4 syndrome
Omenn syndrome
Isolated NADH-CoQ reductase deficiency
Leigh syndrome with leukodystrophy
Familial pancreatic carcinoma
Young adult-onset Parkinsonism
Huntington disease
Juvenile Huntington disease
Distal myopathy with posterior leg and anterior hand involvement
Generalized juvenile polyposis / juvenile polyposis coli
Hereditary breast and ovarian cancer syndrome
Hereditary hemorrhagic telangiectasia
Muscle filaminopathy
Myhre syndrome
Parkinsonian-pyramidal syndrome
Citrullinemia type II
Neonatal intrahepatic cholestasis due to citrin deficiency
Fibronectin glomerulopathy
17p13.3 microduplication syndrome
APC-related attenuated familial adenomatous polyposis
Amyotrophic lateral sclerosis-parkinsonism-dementia complex
Atelosteogenesis type I
Atelosteogenesis type III
Autosomal dominant Larsen syndrome
Autosomal dominant hypohidrotic ectodermal dysplasia
Boomerang dysplasia
Congenital brain dysgenesis due to glutamine synthetase deficiency
Cornelia de Lange syndrome
Desmoid tumor
Distal 17p13.3 microdeletion syndrome
Early infantile epileptic encephalopathy
Estrogen resistance syndrome
Familial adenomatous polyposis due to 5q22.2 microdeletion
Familial prostate cancer
Fatal infantile hypertrophic cardiomyopathy due to mitochondrial complex I deficiency
Gardner syndrome
Hereditary breast cancer
Hereditary site-specific ovarian cancer syndrome
Intellectual disability-feeding difficulties-developmental delay-microcephaly syndrome
Miller-Dieker syndrome
Primary peritoneal carcinoma
Retinitis pigmentosa
Spondylocarpotarsal synostosis
Turcot syndrome with polyposis
Leigh syndrome with cardiomyopathy
Autosomal dominant spastic paraplegia type 13
Giant cell glioblastoma
Gliosarcoma
Pelizaeus-Merzbacher-like due to HSPD1 mutation
CADDS
Severe motor and intellectual disabilities-sensorineural deafness-dystonia syndrome
Synonym(s):
- Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes
- Mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes

Classification (Orphanet):
- Inborn errors of metabolism
- Rare cardiac disease
- Rare developmental defect during embryogenesis
- Rare eye disease
- Rare genetic disease
- Rare neurologic disease
- Rare otorhinolaryngologic disease

Classification (ICD10):
- Diseases of the nervous system -

Epidemiological data:
Class of prevalence: unknown
Average age onset: childhood
Average age of death: -
Type of inheritance: mitochondrial inheritance
External references:
1 OMIM reference -
1 MeSH reference: D017241

Very frequent
- Abnormal EMG / electromyogram / electropmyography
- Abnormal muscle biopsy / muscle enzymes / CPK / LDH / aldolase / creatin phosphokinase
- Asthenia / fatigue / weakness
- Central neuropathy
- Early death in adulthood
- Facial pain / cephalalgia / migraine
- Hemiplegia / diplegia / hemiparesia / limb palsy
- Muscle weakness / flaccidity
- Myopathy
- Organic acid metabolism anomalies
- Psychic / psychomotor regression / dementia / intellectual decline
- Respiratory chain / mitochondrial anomalies
- Seizures / epilepsy / absences / spasms / status epilepticus
- Transient cerebral ischemia / stroke

Frequent
- Abnormal visual field / hemianopsia / hemianopia / scotoma / visual peripheral rim
- Acute abdominal pain / colic
- Anorexia
- Ataxia / incoordination / trouble of the equilibrium
- Cerebellum / cerebellar vermis anomaly / agenesis / hypoplasia
- Cortical atrophy without hydrocephaly / cerebral hemiatrophy / subcortical atrophy
- Delirium / hallucination
- Failure to thrive / difficulties for feeding in infancy / growth delay
- Humour troubles / anxiety / depression / apathy / euphoria / irritability
- Hyperactivity / attention deficit
- Insulin-independent / type 2 diabetes
- Intellectual deficit / mental / psychomotor retardation / learning disability
- Intracranial / cerebral calcifications
- Myoclonus / fasciculations
- Nausea / vomiting / regurgitation / merycism / hyperemesis
- Nerve conduction abnormality
- Obnubilation / coma / lethargia / desorientation
- Pancreatitis
- Pollakiuria / polyuria / dysuria / anuria / acute urine retention / oliguria
- Ptosis
- Respiratory distress / dyspnea / respiratory failure / lung volume reduction
- Sensorineural deafness / hearing loss
- Short stature / dwarfism / nanism
- Structural anomalies of inner ear / cochlea / vestible / semicircular canals
- Transient amaurosis / acute visual trouble
- Troubles of memory / amnesia / hypermnesia
- Wasted (excluding lipodystrophy) / poorly muscled build / cachexy

Occasional
- Abnormal erosion / resorption of teeth / odontolysis
- Abnormal VEP / Visual evoked potential
- Agyria / micro / pachy / macrogyria / lissencephaly / gyration / neuronal migration defect
- Aortic dilatation / dilation
- Aortic dissection
- Apnea / sleep apnea
- Areflexia / hyporeflexia
- Arthrogryposis
- Autism / autistic disoders
- Cardiac conduction defect / sinoauricular / heart / auriculoventricular / branch block
- Cardiac rhythm disorder / arrhythmia
- Cardiomyopathy / hypertrophic / dilated
- Cataract / lens opacification
- Chronic arterial hypertension
- Collapse / sudden death / cardiac arrest / cardiorespiratory arrest
- Constipation
- Contractures / cramps / trismus / tetania / claudication / opisthotonos
- Cortico-adrenal hypoplasia / insufficiency
- Delayed bone age
- Dilated cerebral ventricles without hydrocephaly
- Dystonia / torticollis / writer's cramp / blepharospasms
- EEG anomalies
- Elocution disorders / dysarthria / dysphonia
- Erythema / erythematous lesions / erythroderma / polymorphous erythema
- Expressionless face / amimia
- Feeding disorder / dysphagia / swallowing / sucking disorder / esophageal dyskinesia
- Fever / chilling
- Functional anomalies of the liver and the biliary tract
- Gastroesophageal reflux / pyrosis / esophagitis / hiatal hernia / gastroparesia
- Goiter
- Heart / cardiac failure
- Hematomas
- Hirsutism / hypertrichosis / Increased body hair
- Hypercalciuria
- Hypertelorism
- Hyperthyroidy
- Hypoparathyroidy
- Hypothalamic-hypophyseal axis functional anomalies / hypopituitarism
- Hypothyroidy
- Hypotonia
- Ichthyosis / ichthyosiform dermatitis
- Immunodeficiency / increased susceptibility to infections / recurrent infections
- Insulin-dependent / type 1 diabetes
- Interstitial nephropathy
- Intestinal obstruction / ileus
- Intestinal transit disorder
- Irregular / patchy skin hypopigmentation
- Late puberty / hypogonadism / hypogenitalism
- Macular dystrophy / absence / hypoplasia of the macula
- Malabsorption / chronic diarrhea / steatorrhea
- Metabolic decompensation
- Microcephaly
- Mild visual loss / impaired visual acuity
- Multiple caries
- Muscle hypotrophy / atrophy / dystrophy / agenesis / amyotrophy
- Myalgia / muscular pain
- Nephrotic syndrome
- Night blindness / hemeralopia
- Ophthalmoplegia / ophthalmoparesis / oculomotor palsy
- Optic nerve anomaly / optic atrophy / anomaly of the papilla
- Paresthesia / dysesthesia / hypoesthesia / anesthesia / numbness
- Peripheral neuropathy
- Prominent / bat ears
- Proteinuria
- Psychosis / schizophrenia / maniac disorder
- Pulmonary hypertension
- Pulmonary thromboembolism
- Purpura / petichiae
- Renal failure
- Renal glomerular defect / glomerulopathy
- Renal tubular defect / tubulopathy
- Retinitis pigmentosa / retinal pigmentary changes
- Speech troubles / aphasia / dysphasia / echolalia / mutism / logorrhea / dysprosodia
- Thickened / hypertrophic / fibromatous gingivae
- Thyroiditis
- Tremor
- Xanthomas / lipomas