Hydrops, Lactic Acidosis, and Sideroblastic Anemia, also known as hydrops-lactic acidosis-sideroblastic anemia-multisystemic failure syndrome, is related to perrault syndrome 4 and perrault syndrome. An important gene associated with Hydrops, Lactic Acidosis, and Sideroblastic Anemia is LARS2 (Leucyl-TRNA Synthetase 2, Mitochondrial). Affiliated tissues include liver and testes, and related phenotypes are seizure and anemia