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Living with COG6-congenital disorder of glycosylation

An inherited condition affecting many body systems from birth or early infancy, with poor growth, digestive and liver problems, and developmental delay.

Understanding COG6-congenital disorder of glycosylation

COG6-congenital disorder of glycosylation (CDG2L) is an autosomal recessive condition that affects many body systems from birth or early infancy.

It is marked by poor growth, digestive and liver differences, delayed development, low muscle tone, repeated infections, blood differences, and a tendency to bleed. Skin features include sweating differences and thickened skin. Facial differences and heart wall defects are more variable. GARD lists onset in the newborn period.

Signs & symptoms

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

  • Poor growth and slow weight gain
  • Chronic diarrhea
  • Enlarged liver
  • Low muscle tone
  • Global developmental delay
  • Small head size and decreased sweating

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 COG6 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

    CDG CARE 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: CDG CARE
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 CDG CARE
  • 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 COG6 genetic testing confirm the diagnosis?
Should bleeding tendency and infections be monitored?
Which specialists should be on the care team?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesCOG6

GARD says changes in the COG6 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: cdg iil; cdg syndrome type iil; cdg-iil; cdg2l; cog6-cdg; cog6-cgd

Patient organizations

  • CDG CARECOG6-congenital disorder of glycosylation · United States
Source: NIH GARD · COG6-congenital disorder of glycosylationGARD ID 10944 · 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 COG6-congenital disorder of glycosylation.

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