3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD

What is 3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD?

3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD is a rare disease. It is also known as Beta-hydroxyisobutyryl Coa Deacylase Deficiency; Hibch Deficiency Methacrylic Acid Toxicity Methacrylic Aciduria Valine Metabolic Defect.

Brown et al., (1982) reported a male infant, the offspring of Egyptian first cousins, with multiple congenital abnormalities. Clinical description is brief, but at birth the male infant was noted to have dysmorphic facial features (not specified) and fed poorly. There was marked hypotonia. Multiple vertebral anomalies (also not specified) were noted in addition to a tetralogy of Fallot. At post mortem examination agenesis of the cingulate gyrus and corpus callosum was found. There was an increased excretion of urinary cysteine and cysteamine, which are conjugates of methacrylic acid. A deficiency of the enzyme beta-hydroxyisobutyryl CoA deacylase was demonstrated. Accumulation of methylacrylyl-CoA was postulated to cause tissue damage leading to the congenital malformations. Truscott et al., (1981) reported the same case. Brown (1994) discusses this case further. There is evidence from the rat for teratogenic effects of methacrylate esters (Singh et al., 1972). Exposed rats developed skeletal abnormalities including sternal abnormalities and fused or missing ribs. Haemangiomas were also noted.

Read More

* This information is courtesy of the L M D.

If you find a mistake or would like to contribute additional information, please email us at: [email protected]

What gene changes cause 3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD?

The syndrome is inherited in the following inheritance pattern/s:

Autosomal Recessive - Autosomal recessive inheritance means an affected individual receives one copy of a mutated gene from each of their parents, giving them two copies of a mutated gene. Parents, who carry only one copy of the gene mutation will not generally show any symptoms but have a 25% chance of passing the copies of the gene mutations onto each of their children.

In some cases, a genetic syndrome may be the result of a de-novo mutation and the first case in a family. In this case, this is a new gene mutation that occurs during the reproductive process.

OMIM Number - 250620 (please check the OMIM page for updated information)

The syndrome can be caused by mutations in the following gene/s location/s:
HIBCH - 2q32.2

What are the main symptoms of 3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD?

The typical symptoms of the syndrome are:
Global developmental delay, Autosomal recessive inheritance, Seizure, Abnormal vertebral morphology, Aminoaciduria, Tetralogy of Fallot, Muscular hypotonia, Myoclonus, Abnormal facial shape, Feeding difficulties in infancy, Dysmetria, Agenesis of corpus callosum, Dystonia, Developmental regression

How does someone get tested for 3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD?

The initial testing for 3-Hydroxyisobutyrl-CoA Hydrolase Deficiency; HIBCHD can begin with facial genetic analysis screening, through the FDNA Telehealth telegenetics platform, which can identify the key markers of the syndrome and outline the type of genetic testing needed. A consultation with a genetic counselor and then a geneticist will follow.

Based on this clinical consultation with a geneticist, the different options for genetic testing will be shared and consent will be sought for further testing.

Get Faster and More Accurate Genetic Diagnosis!

More than 250,000 patients successfully analyzed!
Don't wait years for a diagnosis. Act now and save valuable time.

Start Here!

"Our road to a rare disease diagnosis was a 5-year journey that I can only describe as trying to take a road trip with no map. We didn’t know our starting point. We didn’t know our destination. Now we have hope."


Paula and Bobby
Parents of Lillie

What is FDNA Telehealth?

FDNA Telehealth is a leading digital health company that provides faster access to accurate genetic analysis.

With a hospital technology recommended by leading geneticists, our unique platform connects patients with genetic experts to answer their most pressing questions and clarify any concerns they may have about their symptoms.

Benefits of FDNA Telehealth

FDNA icon


Our platform is currently used by over 70% of geneticists and has been used to diagnose over 250,000 patients worldwide.

FDNA icon


FDNA Telehealth provides facial analysis and screening in minutes, followed by fast access to genetic counselors and geneticists.

FDNA icon

Ease of Use

Our seamless process begins with an initial online diagnosis by a genetic counselor and follows by consultations with geneticists and genetic testing.

FDNA icon

Accuracy & Precision

Advanced artificial intelligence (AI) capabilities and technology with a 90% accuracy rate for a more accurate genetic analysis.

FDNA icon

Value for

Faster access to genetic counselors, geneticists, genetic testing, and a diagnosis. As fast as within 24 hours if required. Save time and money.

FDNA icon

Privacy & Security

We guarantee the utmost protection of all images and patient information. Your data is always safe, secure, and encrypted.

FDNA Telehealth can bring you closer to a diagnosis.
Schedule an online genetic counseling meeting within 72 hours!