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

An inherited muscle condition with low muscle tone, small head size, and seizures, starting from birth to early childhood.

Understanding Autosomal recessive limb-girdle muscular dystrophy type 2T

Autosomal recessive limb-girdle muscular dystrophy type 2T is an inherited muscle condition that can start from birth to early childhood.

People have low muscle tone, a small head, mild muscle weakness that delays walking and makes stairs hard, mild intellectual disability, and epilepsy. Some also have cataracts, shaky eye movements, heart muscle disease, or breathing problems.

Signs & symptoms

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

  • Low muscle tone (hypotonia)
  • Trouble climbing stairs
  • Global developmental delay
  • Intellectual disability
  • Seizures
  • Small head size (less common)

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 GMPPB 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 GMPPB gene confirm the diagnosis?
How can seizures be monitored and managed?
Should my child's eyes, heart, and breathing be checked?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesGMPPB

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

GeneticNeurologicalInherited Metabolic

Also known as: autosomal recessive limb girdle muscular dystrophy type 2t; autosomal recessive limb-girdle muscular dystrophy caused by mutation in gmppb; gmppb autosomal recessive limb-girdle muscular dystrophy; gmppb-related lgmd r19; gmppb-related limb-girdle muscular dystrophy r19; lgmd type 2t

Patient organizations

Source: NIH GARD · Autosomal recessive limb-girdle muscular dystrophy type 2TGARD ID 12544 · 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 2T.

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