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Living with Familial isolated deficiency of vitamin E

An inherited condition (ataxia with vitamin E deficiency) where the body cannot use vitamin E, causing coordination and nerve problems.

Understanding Familial isolated deficiency of vitamin E

Familial isolated deficiency of vitamin E, also called ataxia with vitamin E deficiency, is a condition that impairs the body's use of vitamin E from food.

Low vitamin E can lead to nerve problems, including trouble coordinating movements (ataxia), slurred speech (dysarthria), and loss of feeling in the hands and feet. Some people develop an eye disease (retinitis pigmentosa) that causes vision loss. Most people notice movement problems between ages 5 and 15, and these tend to worsen with age.

Signs & symptoms

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

  • Trouble coordinating movements (ataxia)
  • Slurred speech (dysarthria)
  • Abnormal walking (gait)
  • Loss of reflexes and of feeling in the limbs
  • Muscle weakness
  • Night blindness (nyctalopia)

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TTPA 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

    National Ataxia Foundation and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Ataxia Foundation, The Foundation for Peripheral Neuropathy
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 National Ataxia 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
Should we have genetic testing for the TTPA gene?
How is my vitamin E level checked and followed?
Do I need regular eye and nerve exams?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesTTPA

Changes in the TTPA gene cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: ataxia with isolated vitamin e deficiency; ataxia with vitamin e deficiency; aved; familial isolated deficiency of vitamin type e; familial isolated vitamin e deficiency; friedreich ataxia phenotype with selective vitamin e deficiency

Patient organizations

Source: NIH GARD · Familial isolated deficiency of vitamin EGARD ID 8595 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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