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Living with Autosomal recessive limb-girdle muscular dystrophy type 2G

A mild inherited muscle condition with slowly worsening weakness in the arms and legs.

Understanding Autosomal recessive limb-girdle muscular dystrophy type 2G

Autosomal recessive limb-girdle muscular dystrophy type 2G is a mild form of limb-girdle muscular dystrophy with slowly worsening weakness near the body's center.

Onset ranges from infancy to adolescence. Muscles in the upper arms and thighs become weaker and smaller over time. Mild winged shoulder blades and enlarged calves can occur. There is no breathing or heart involvement.

Signs & symptoms

GARD doesn't list specific symptoms for this condition. The summary describes these features:

  • Slowly worsening weakness in upper arms and legs
  • Muscle wasting
  • Mild winged shoulder blades
  • Enlarged calf muscles

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 TCAP 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
Can genetic testing for the TCAP gene confirm the diagnosis?
What activities are best for my muscles?
How often should my muscle strength be checked?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesTCAP

It is caused by changes in the TCAP gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: autosomal recessive limb girdle muscular dystrophy type 2g; autosomal recessive limb-girdle muscular dystrophy caused by mutation in tcap; lgmd due to telethonin deficiency; lgmd type 2g; lgmd2g; lgmdr7

Patient organizations

Source: NIH GARD · Autosomal recessive limb-girdle muscular dystrophy type 2GGARD ID 10471 · 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 recessive limb-girdle muscular dystrophy type 2G.

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