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Living with Congenital myopathy with fiber type disproportion

A genetic muscle condition that causes weakness, often starting in infancy, and can affect breathing and swallowing.

Understanding Congenital myopathy with fiber type disproportion

Congenital myopathy with fiber type disproportion is a condition that mainly affects the skeletal muscles, the muscles used for movement.

People typically have weak muscles in the shoulders, upper arms, hips, and thighs. Weakness can also affect the face and eye muscles, sometimes causing droopy eyelids. About 30 percent of people have breathing problems, and about 30 percent have trouble swallowing. Some have a long face, a high-arched palate, crowded teeth, joint contractures, or a curved spine. Severity varies widely, from severe weakness at birth to mild weakness that appears in adulthood. Signs usually appear by age 1.

Signs & symptoms

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

  • Low muscle tone (hypotonia)
  • Muscle weakness and easy tiring
  • Delayed movement skills (motor delay)
  • Trouble swallowing or feeding
  • Breathing trouble from weak muscles
  • Tight joints (contractures)

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    RYR-1 Foundation and Muscular Dystrophy Association 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: RYR-1 Foundation, Muscular Dystrophy Association
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 RYR-1 Foundation 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
Which gene is involved in my child's condition, and would genetic testing help?
How often should breathing and swallowing be checked?
Could my child need help breathing at night?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive, X-Linked

GARD says changes in genes cause this condition. It can be autosomal dominant, autosomal recessive, or X-linked, depending on the family.

GeneticNeurological

Also known as: cftdm; congenital fiber-type disproportion; congenital fiber-type disproportion myopathy; congenital myopathy with fibre type disproportion

Patient organizations

Source: NIH GARD · Congenital myopathy with fiber type disproportionGARD ID 6161 · 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 Congenital myopathy with fiber type disproportion.

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