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Mitochondrial-Immune Overlap in Leber Hereditary Optic Neuropathy: A Case Report and Lessons Learned
Hind Alnajashi1,2, Walid Eltantawi3
1Department of Neurology, Faculty of Medicine, King Abdulaziz University, Jeddah P.O. Box 80200, Saudi Arabia.
Leber hereditary optic neuropathy (LHON) can mimic multiple sclerosis (MS) symptoms. Recognizing red flags like poor vision recovery is crucial for diagnosing this mitochondrial-immune overlap disorder and guiding treatment.
Area of Science:
- Neurology
- Mitochondrial Genetics
- Neuroimmunology
Background:
- Leber hereditary optic neuropathy (LHON) is a mitochondrial disorder causing vision loss, typically in young males.
- Multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) are immune-mediated demyelinating diseases.
- Mitochondrial dysfunction and neuroinflammation may overlap, leading to combined phenotypes like LHON-MS (Harding's disease).
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