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Living with Glycogen storage disease due to lactate dehydrogenase deficiency

A rare condition affecting how muscles make energy, causing tiredness and muscle pain with exercise.

Understanding Glycogen storage disease due to lactate dehydrogenase deficiency

Glycogen storage disease due to lactate dehydrogenase deficiency is a rare genetic condition with a lack of the M or H part of the LDH enzyme.

With M-subunit deficiency, the main features are tiredness and muscle pain with exercise, sometimes with rust-colored urine (myoglobinuria). Some people develop skin lesions similar to pustular psoriasis. Pregnancy complications have also been described. H-subunit deficiency shows up as low LDH activity in blood tests of unclear importance. It is usually noticed in childhood.

Signs & symptoms

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

  • Muscle tiredness with exercise
  • Muscle aches
  • Muscle spasms
  • Muscle stiffness
  • Thickened skin on the palms and soles

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.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Muscular Dystrophy Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Expert lists: Muscular Dystrophy Association
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 Muscular Dystrophy Association
  • 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
Is this M-subunit or H-subunit deficiency?
How can I exercise safely and avoid muscle breakdown?
What should be planned for pregnancy?

Quick facts

Symptoms usually startChild

Changes in genes cause this condition. GARD does not name the gene or describe how it is inherited.

GeneticInherited Metabolic

Also known as: glycogen storage disease type xi; glycogenosis due to lactate dehydrogenase deficiency; gsd due to lactate dehydrogenase deficiency; ldh deficiency

Patient organizations

Source: NIH GARD · Glycogen storage disease due to lactate dehydrogenase deficiencyGARD ID 3159 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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