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Living with 3-methylglutaconic aciduria, type VIIB

A rare metabolic condition that can lower white blood cells and affect the brain, with delayed development and seizures.

Understanding 3-methylglutaconic aciduria, type VIIB

3-Methylglutaconic aciduria type 7B is a rare metabolic condition that affects how the body breaks down certain proteins.

It can lower neutrophils, a type of white blood cell, which can lead to frequent and severe infections. It also causes global developmental delay and intellectual disability, low muscle tone, movement difficulties, and seizures. Some people have a smaller head size or cataracts. Brain scans may show shrinkage. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low white blood cells with infections (neutropenia)
  • Intellectual disability
  • Delayed motor skills
  • Muscle stiffness (spasticity)
  • Clouding of the eye lens (cataract)
  • Feeding difficulties

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include allergy and immune system specialists, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CLPB are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Immune Deficiency Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can we watch for infections and low white blood cells?
Should my child have regular eye exams for cataracts?
What does CLPB genetic testing mean for our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesCLPB

Changes in the CLPB gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: 3-methylglutaconic aciduria type 7; 3-methylglutaconic aciduria type vii; 3-methylglutaconic aciduria with cataracts, neurologic involvement and neutropenia; 3-methylglutaconic aciduria-cataract-neurologic involvement-neutropenia syndrome; 3-methylglutaconic aciduria, type vii, with cataracts, neurologic involvement and neutropenia; clpb 3-methylglutaconic aciduria

Patient organizations

Broader rare-disease groups

Source: NIH GARD · 3-methylglutaconic aciduria, type VIIBGARD ID 17767 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with 3-methylglutaconic aciduria, type VIIB.

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