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Living with Deficiency of malonyl-CoA decarboxylase

An inherited condition that prevents the body from converting certain fats to energy, with delayed development and heart muscle disease.

Understanding Deficiency of malonyl-CoA decarboxylase

Deficiency of malonyl-CoA decarboxylase is an inherited condition that prevents the body from converting certain fats to energy.

Signs typically appear in early childhood. Almost all affected children have delayed development. A heart condition called cardiomyopathy, which weakens and enlarges the heart muscle, is another common feature.

Signs & symptoms

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

  • Delayed development overall
  • Heart muscle disease (cardiomyopathy)
  • Muscle tensing that twists the body (dystonia)
  • Feeding difficulties
  • Poor weight gain (failure to thrive)
  • Small head size (microcephaly)

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 genetic specialists.

  3. Consider genetic testing

    Changes in MLYCD are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Organic Acidemia Association
  • 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
How often should the heart be checked?
Can genetic testing of the MLYCD gene help our family?
How can low blood sugar and feeding problems be managed?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesMLYCD

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

GeneticInherited Metabolic

Also known as: deficiency of malonyl-coenzyme a decarboxylase; malonic aciduria; malonyl-coa decarboxylase deficiency; mcd deficiency; mlycd-gene related malonic aciduria

Patient organizations

Source: NIH GARD · Deficiency of malonyl-CoA decarboxylaseGARD ID 3371 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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