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Living with Adenosine kinase deficiency

A rare inherited metabolic condition affecting the brain and liver, with developmental delay, seizures, and low muscle tone.

Understanding Adenosine kinase deficiency

Adenosine kinase deficiency is a rare inherited metabolic condition that can affect the brain, liver, and other organs.

It is marked by too much of the amino acid methionine in the blood. It can cause brain dysfunction (encephalopathy), severe developmental delay, liver problems, and low muscle tone. Some people also have seizures, low blood sugar, or heart defects. It can range from only nervous system symptoms to many organs being involved.

Signs & symptoms

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

  • Delayed development
  • Seizures
  • Low muscle tone (hypotonia)
  • Liver problems, such as slowed bile flow (cholestasis)
  • Poor weight gain (failure to thrive)
  • Larger-than-usual head (macrocephaly)

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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
Is genetic testing for ADK available for our family?
How should the liver and heart be monitored?
What can help with seizures and development?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesADK

Changes in the ADK gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: adk deficiency; adk hypermethioninemia; autosomal recessive intellectual disability 8; hypermethioninemia due to adenosine kinase deficiency; hypermethioninemia encephalopathy due to adenosine kinase deficiency; hypermethioninemia encephalopathy due to adk (adenosine kinase) deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Adenosine kinase deficiencyGARD ID 17321 · 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 Adenosine kinase deficiency.

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Explore research for Adenosine kinase deficiency

Explore actively recruiting Adenosine kinase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Adenosine kinase deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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