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Living with Autosomal dominant limb-girdle muscular dystrophy type 1F

A rare inherited muscle condition with slowly worsening weakness in the shoulders and hips, starting at a variety of ages.

Understanding Autosomal dominant limb-girdle muscular dystrophy type 1F

Limb-girdle muscular dystrophy type 1F is a rare inherited muscle condition that causes progressive weakness and wasting of the shoulder and hip muscles.

The hip muscles, especially the iliopsoas, are more affected. Other features can include enlarged calves, trouble swallowing, long slender fingers, and weakness in muscles farther from the center of the body. Walking changes, tiredness, and muscle pain can also occur. Heart conduction problems are typically not seen.

Signs & symptoms

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

  • Weakness in the hip muscles
  • Weak shoulder muscles
  • Trouble climbing stairs
  • Trouble swallowing
  • Weakness in the hands and feet
  • Breathing muscle weakness in some people

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 TNPO3 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

    Muscular Dystrophy Association and The Speak Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Muscular Dystrophy Association, The Speak 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 Muscular Dystrophy Association 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
Which therapies help keep me mobile?
How should swallowing and breathing strength be checked?
Would TNPO3 testing help my relatives?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesTNPO3

GARD says changes in the TNPO3 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: autosomal dominant limb girdle muscular dystrophy type 1f; lgmd type 1f; lgmd1f; lgmdd2; limb-girdle muscular dystrophy type 1f; limb-girdle muscular dystrophy, type 1f

Patient organizations

Source: NIH GARD · Autosomal dominant limb-girdle muscular dystrophy type 1FGARD ID 12530 · 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 Autosomal dominant limb-girdle muscular dystrophy type 1F.

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