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Mitochondrial Complex I Deficiency Nuclear Type 19 C4748791

Published: July 22, 2026Updated: August 20, 2026

A hereditary condition where the first complex of the mitochondrial respiratory chain is defective, limiting energy production in cells. It often affects organs with high energy needs. Care focuses on symptom management and supportive therapy.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Vision loss

Fatigue or weight changes

(metabolic)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Failure to thrive

(metabolic)

Ataxia

(metabolic)

Diabetes mellitus

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Evidence-based pharmacological treatment

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
2

Mitochondrial Support Cocktail

Combination therapy with CoQ10, L-carnitine, alpha-lipoic acid, and B-complex vitamins to optimize mitochondrial function and reduce oxidative stress.

medication
3

Multisystem Function Assessment

Comprehensive monitoring including liver function tests, cardiac evaluation, and metabolic panels to detect organ involvement progression.

monitoring

Additional treatment options

Modified Protein Intake Protocol

Carefully balanced protein intake with emphasis on easily digestible amino acids to support mitochondrial protein synthesis without metabolic strain.

dietary

Feeding Tube Placement (if indicated)

Gastrostomy tube placement for patients with severe feeding difficulties or failure to thrive to ensure adequate caloric and nutritional intake.

procedure

Acetyl-L-Carnitine Supplementation

Specific supplementation with acetyl-L-carnitine to support fatty acid metabolism and improve neuronal energy availability.

complementary

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Mitochondrial Complex I Deficiency Nuclear Type 19 C4748791?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Medication Comparisons

Compare medications used to treat Mitochondrial Complex I Deficiency Nuclear Type 19 C4748791. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy