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Living with DK1-congenital disorder of glycosylation

An inherited condition that often affects the heart, and can also cause seizures, delayed development, low muscle tone, and dry skin.

Understanding DK1-congenital disorder of glycosylation

DK1-congenital disorder of glycosylation (DOLK-CDG) is an inherited condition that often affects the heart and can involve other body systems.

Signs usually begin in infancy or early childhood and vary in severity. Nearly everyone with this condition has a weakened and enlarged heart (dilated cardiomyopathy). Other common features are repeated seizures, developmental delay, low muscle tone, and dry, scaly skin (ichthyosis). Less often, people have unusual facial features, kidney disease, hormone problems, or eye problems.

Signs & symptoms

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

  • Weak, enlarged heart (dilated cardiomyopathy)
  • Heart failure
  • Seizures
  • Mild delays in development
  • Dry, scaly skin (ichthyosis)
  • Poor weight gain (failure to thrive)

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, heart and blood vessel specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in DOLK 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, Children's Cardiomyopathy Foundation and Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: CDG CARE, Children's Cardiomyopathy Foundation, Foundation for Ichthyosis and Related Skin Types
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
Would genetic testing for the DOLK gene help our family?
How often should heart checks be done?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesDOLK

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

GeneticSkinInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type 1m; carbohydrate deficient glycoprotein syndrome type im; cdg im; cdg syndrome type im; cdg-im; cdg1m

Patient organizations

Source: NIH GARD · DK1-congenital disorder of glycosylationGARD ID 12393 · 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 DK1-congenital disorder of glycosylation.

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