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Living with Alpha-N-acetylgalactosaminidase deficiency type 3

A rare form of NAGA deficiency that can affect development, the brain, and mental health.

Understanding Alpha-N-acetylgalactosaminidase deficiency type 3

Alpha-N-acetylgalactosaminidase deficiency type 3 is a rare disease that affects people in different ways.

It can cause problems with development, the brain, and mental health. GARD says these symptoms usually appear in a person's middle years. GARD lists the onset as childhood.

Signs & symptoms

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

  • Developmental delay
  • Intellectual disability
  • Seizures
  • Autism
  • Cloudy lens of the eye (cataract)
  • Enlarged liver

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, eye disease specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in NAGA 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

    The International Advocates for Glycoprotein Storage Diseases (ISMRD) and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: The International Advocates for Glycoprotein Storage Diseases (ISMRD), Epilepsy 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 The International Advocates for Glycoprotein Storage Diseases (ISMRD) and other patient organizations
  • 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 NAGA available for our family?
Which therapies can support development and mental health?
How should my heart and eyes be checked?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesNAGA

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

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: alpha-n-acetylgalactosaminidase deficiency, type iii; naga (alpha-n-acetylgalactosaminidase) deficiency type 3; naga deficiency type 3; schindler disease type 3; schindler disease, type 3; schindler disease, type iii

Patient organizations

Source: NIH GARD · Alpha-N-acetylgalactosaminidase deficiency type 3GARD ID 3903 · 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 Alpha-N-acetylgalactosaminidase deficiency type 3.

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