HIBCH deficiency
HIBCH Deficiency: A Comprehensive Review Introduction 3-Hydroxyisobutyryl-CoA hydrolase (HIBCH) deficiency (OMIM #250620) is an extremely rare autosomal recessive inborn error of valine catabolism that leads to severe neurological manifestations and mitochondrial dysfunction. First described in 1982, this devastating condition has been reported in fewer than 100 patients worldwide, with most cases presenting in early infancy …