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Living with Developmental and epileptic encephalopathy, 50

A rare condition, often found in infancy, with seizures, developmental delay, and red blood cell problems.

Understanding Developmental and epileptic encephalopathy, 50

Developmental and epileptic encephalopathy 50, also called CAD-CDG, is a rare condition caused by changes in the CAD gene that affect many parts of the body.

The gene changes block a step that cells need to make glycans, which are sugar-based molecules. It is often diagnosed in infancy. Common symptoms are seizures, developmental delay, and red blood cell problems such as anemia and unusually shaped red blood cells. Symptoms can worsen over time.

Signs & symptoms

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

  • Seizures
  • Global developmental delay
  • Loss of developmental skills
  • Low muscle tone
  • Anemia and unusual red blood cells
  • 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 genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in CAD 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

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: 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 Epilepsy Foundation
  • 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 CAD gene confirm the diagnosis?
How often should blood counts be checked?
Which specialists should be on our care team?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesCAD

Changes in the CAD 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: cad-cdg; cad-cdg - carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase congenital disorder of glycosylation; carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase congenital disorder of glycosylation; carbohydrate deficient glycoprotein syndrome type iz; cdg syndrome type iz; cdg-iz

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Developmental and epileptic encephalopathy, 50GARD ID 13621 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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