“…Primary CoQ 10 deficiency causes clinically heterogeneous diseases: 1) encephalomyopathy characterized by the triad of recurrent myoglobinuria, brain involvement and ragged-red fibers (Ogasahara et al, 1989;Sobreira et al, 1997;Boitier et al, 1998;DiGiovanni et al, 2001;Aure et al, 2004); 2) severe infantile multisystemic disease (Rötig et al, 2000;Rahman et al, 2001;Salviati et al, 2005); 3) cerebellar ataxia (Musumeci et al, 2001;Lamperti et al, 2003;Gironi et al, 2004;Artuch et al, 2006); 4) Leigh syndrome with growth retardation, ataxia and deafness (Van Mardergem et al, 2002); and 5) isolated myopathy (Lalani et al, 2005;Horvath et al, 2006). These disorders are transmitted as autosomal recessive traits and in most cases respond to CoQ 10 supplementation.…”