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Living with Beta-D-mannosidosis

A rare inherited condition affecting how the body processes certain sugars, with effects on learning, hearing, and muscles.

Understanding Beta-D-mannosidosis

Beta-D-mannosidosis is a rare inherited condition that affects how the body processes certain sugar molecules.

Signs vary widely in severity and can begin from infancy to adulthood. Almost everyone has intellectual disability, and some have delayed motor skills and seizures. Other features can include hearing loss, speech and swallowing difficulties, low muscle tone, repeated infections, and small dark red spots on the skin (angiokeratomas). Some have behavior or mood changes.

Signs & symptoms

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

  • Intellectual disability
  • Hearing loss
  • Seizures
  • Repeated lung and ear infections
  • Distinctive facial features
  • Weak belly wall 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 bone and joint specialists, brain and nervous system specialists, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in MANBA 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), Children's Cardiomyopathy Foundation and The Foundation for Peripheral Neuropathy 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); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: The International Advocates for Glycoprotein Storage Diseases (ISMRD), Children's Cardiomyopathy Foundation, The Foundation for Peripheral Neuropathy
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
Can MANBA gene testing confirm the diagnosis?
How often should hearing and speech be checked?
What supports can help with learning, behavior, and mood?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesMANBA

Changes in the MANBA gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: beta-mannosidase deficiency; beta-mannosidosis; lysosomal beta-mannosidase deficiency; mannosidosis, beta; mannosidosis, beta a, lysosomal; mansb

Patient organizations

Source: NIH GARD · Beta-D-mannosidosisGARD ID 869 · 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 Beta-D-mannosidosis.

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