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ORPHA:79318Disease
Also called CDG syndrome type Ia · CDG-Ia · CDG1A · Carbohydrate deficient glycoprotein syndrome type Ia · Congenital disorder of glycosylation type 1a · Congenital disorder of glycosylation type Ia · Phosphomannomutase 2 deficiency
What it is
A rare congenital disorder of N-glycosylation and is characterized by cerebellar dysfunction, abnormal fat distribution, inverted nipples, strabismus and hypotonia. 3 forms of PMM2-CDG can be distinguished: the infantile multisystem type, late-infantile and childhood ataxia-intellectual disability type (3-10 yrs old), and the adult stable disability type. Infants usually develop ataxia, psychomotor delay and extraneurological manifestations including failure to thrive, enteropathy, hepatic dysfunction, coagulation abnormalities and cardiac and renal involvement. The phenotype is however highly variable and ranges from infants who die in the first year of life to mildly involved adults.
Key facts
- Prevalence
- 1-9 / 100 000 (at birth, Europe)
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
31- Abnormal facial shape
- Abnormal subcutaneous fat tissue distribution
- Anteverted nares
- Axial hypotonia
- Cerebellar hypoplasia
- Delayed myelination
- Delayed speech and language development
- Epicanthus
- Esotropia
- Feeding difficulties
- Global developmental delay
- Hypertelorism
- Hyporeflexia
- Inverted nipples
- Joint hypermobility
- Kyphoscoliosis
- Lipodystrophy
- Long face
- Long fingers
- Long philtrum
- Mandibular prognathia
- Osteopenia
- Osteoporosis
- Pes planus
- Prominent forehead
- Prominent nose
- Retrognathia
- Seizure
- Thin upper lip vermilion
- Vomiting
- Wide mouth
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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