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Living with Deficiency of alpha-mannosidase

A rare inherited condition affecting many organs, with learning challenges, distinct facial features, and bone differences.

Understanding Deficiency of alpha-mannosidase

Deficiency of alpha-mannosidase, also called alpha-mannosidosis, is a rare inherited condition that causes problems in many organs and tissues.

People may have intellectual disability, distinct facial features, and bone differences. GARD's summary also lists poor coordination (ataxia), muscle weakness, and delays in motor skills. GARD lists onset from birth to childhood.

Signs & symptoms

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

  • Large tongue (macroglossia)
  • Coarse facial features
  • Bowed long bones
  • Repeated middle ear infections
  • Cataracts and clouded corneas
  • Behavior differences

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MAN2B1 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) 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); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: The International Advocates for Glycoprotein Storage Diseases (ISMRD)
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 genetic testing of the MAN2B1 gene confirm the diagnosis?
How should hearing, bones, and joints be monitored?
What therapies can help with movement and speech?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesMAN2B1

Changes in the MAN2B1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: alpha-d-mannosidosis; alpha-mannosidase deficiency; alpha-mannosidosis; lysosomal alpha-d-mannosidase deficiency; mannosidosis, alpha-, types i and ii; mansa

Patient organizations

Source: NIH GARD · Deficiency of alpha-mannosidaseGARD ID 6968 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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