Table 6.

Recommended Surveillance for Individuals with FBXL4-Related mtDNA Depletion Syndrome

System/ConcernEvaluation
Eyes Ophthalmologic eval
ENT/Mouth Hearing eval
Cardiovascular Echocardiogram & electrocardiogram to monitor for development of cardiomyopathy &/or arrhythmia, respectively
Gastrointestinal Continued assessment of nutrition & growth
Measurement of serum lactate, electrolytes, & liver function tests w/AST/ALT, bilirubin, total protein, albumin, & coagulation profile
Neurologic Regular neurologic evals & developmental assessments
Immunologic Complete blood count

From: FBXL4-Related Encephalomyopathic Mitochondrial DNA Depletion Syndrome

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