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Living with COG7 congenital disorder of glycosylation

A very rare condition seen in infants, with facial and skeletal differences, low muscle tone, liver and spleen enlargement, and seizures.

Understanding COG7 congenital disorder of glycosylation

COG7 congenital disorder of glycosylation (COG7-CDG) is a very rare condition that has been described in two infants.

Features include facial differences, skeletal differences, low muscle tone, enlarged liver and spleen, jaundice, heart problems, repeated infections, and epilepsy. It is caused by a change in the gene for COG-7, part of a cell structure called the Golgi complex. GARD lists onset in the newborn period and infancy.

Signs & symptoms

Symptoms vary. GARD lists these among the most common:

  • Facial differences
  • Differences in the fingers
  • Heart and kidney differences
  • Low muscle tone and weak reflexes
  • Brain shrinkage
  • Diarrhea

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, genetic specialists, heart and blood vessel specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in COG7 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 and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: CDG CARE, Epilepsy 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 CDG CARE 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 COG7 genetic testing confirm the diagnosis?
What is the chance of this happening in a future pregnancy?
Which specialists should be on the care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCOG7

GARD says changes in the COG7 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkinInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type iie; cdg iie; cdg syndrome type iie; cdg-iie; cdg2e; cog7 (component of oligomeric golgi complex 7) congenital disorder of glycosylation

Patient organizations

Source: NIH GARD · COG7 congenital disorder of glycosylationGARD ID 9842 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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