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Living with Aspartylglucosaminuria

An inherited condition that mainly affects thinking and movement and gets worse over time, starting around ages 2 to 3.

Understanding Aspartylglucosaminuria

Aspartylglucosaminuria is an inherited condition that mainly affects thinking, speech, and movement and gets worse over time.

Babies look healthy at birth and develop normally in early childhood. Around age 2 or 3, children begin to have delayed speech, mild intellectual disability, and trouble with coordination. Respiratory infections, hernias, and a large head may follow. Intellectual disability and movement problems worsen in the teen years. Adults often have few words and may have seizures or psychological conditions.

Signs & symptoms

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

  • Delayed speech and language
  • Intellectual disability
  • Trouble coordinating movements
  • Coarse facial features, large tongue, and full lips
  • Gum swelling and dental cavities
  • Thicker skull bone

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 bone and joint specialists, brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in AGA 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
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); 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
What therapies can support speech and movement?
How can dental and gum health be protected?
Would AGA testing help other family members?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesAGA

GARD says changes in the AGA gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: aga deficiency; agu; aspartylglucos-amidase (aga) deficiency; aspartylglucos-aminuria; aspartylglucosaminidase deficiency; aspartylglycosaminuria

Patient organizations

Source: NIH GARD · AspartylglucosaminuriaGARD ID 5854 · 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 Aspartylglucosaminuria.

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