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Living with Galactosemia 4

A rare condition in which the body has trouble handling galactose, a sugar in milk products, often noticed as cataracts in babies.

Understanding Galactosemia 4

Galactosemia 4 is a rare disorder of galactose metabolism caused by too little of the enzyme galactose mutarotase.

Babies are affected from the newborn period or infancy. GARD says patients may have cataracts in both eyes, while stomach and bowel symptoms or severe liver problems are absent. With early treatment using a galactose-restricted diet, severe problems such as neurological symptoms have not been reported.

Signs & symptoms

Symptoms vary from person to person. GARD lists this as the most common:

  • Clouding of the lens of the eye (cataract)

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 eye disease specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in GALM 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
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 National Kidney 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
Can genetic testing confirm a change in the GALM gene?
What does a galactose-restricted diet involve for us?
How often should the eyes be checked for cataracts?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesGALM

Changes in the GALM gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticKidneyInherited Metabolic

Also known as: deficiency of galactose mutarotase; galac4; galactose mutarotase deficiency; galactosemia iv; galactosemia type 4; galm (galactose mutarotase) deficiency

Patient organizations

Source: NIH GARD · Galactosemia 4GARD ID 18005 · 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 Galactosemia 4.

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Explore actively recruiting Galactosemia 4 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Galactosemia 4 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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