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Living with Glycogen storage disease due to acid maltase deficiency, infantile onset

The most severe form of acid maltase deficiency, with an enlarged heart, weak muscles, breathing trouble, and feeding difficulties in babies.

Understanding Glycogen storage disease due to acid maltase deficiency, infantile onset

Glycogen storage disease due to acid maltase deficiency, infantile onset, is the most severe form of this glycogen storage disease.

It is marked by an enlarged heart (cardiomegaly) with breathing difficulty, muscle weakness, and feeding difficulties. It begins during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Enlarged, thickened heart
  • Breathing difficulties
  • Floppy muscle tone in infancy
  • Feeding difficulties
  • Enlarged liver and large tongue
  • Delayed sitting and standing

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, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in GAA 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

    Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Cardiomyopathy 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 Children's Cardiomyopathy 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 confirm a change in the GAA gene?
Which specialists should be on my baby's care team, including cardiology?
What treatments are available for the heart and muscle symptoms?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesGAA

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

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: alpha-1,4-glucosidase acid deficiency, infantile onset; glycogen storage disease type 2, infantile onset; glycogen storage disease type ii infantile onset; glycogen storage disease type ii, infantile onset; glycogenosis due to acid maltase deficiency, infantile onset; glycogenosis type 2, infantile onset

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Glycogen storage disease due to acid maltase deficiency, infantile onsetGARD ID 21310 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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