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Living with Glycogen storage disease due to lactate dehydrogenase M-subunit deficiency

A condition that changes how muscle cells use sugar for energy, causing tiredness, pain, and cramps during exercise.

Understanding Glycogen storage disease due to lactate dehydrogenase M-subunit deficiency

Glycogen storage disease due to lactate dehydrogenase M-subunit deficiency affects how the body breaks down sugar for energy in muscle cells.

People get tired and have muscle pain and cramps during exercise. In some, intense exercise leads to breakdown of muscle tissue (rhabdomyolysis), which can cause rust-colored urine (myoglobinuria) and kidney damage. A skin rash may develop. Severity varies greatly. It is usually noticed in childhood.

Signs & symptoms

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

  • Easy tiredness
  • Muscle pain with exercise
  • Muscle breakdown with exercise (rhabdomyolysis)
  • Skin rash with red, scaly patches or pimples
  • Heat intolerance

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 and genetic specialists.

  3. Consider genetic testing

    Changes in LDHA 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

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); 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
Can genetic testing confirm a change in the LDHA gene?
Which kinds of exercise or activity should I avoid?
What should I do if my urine turns dark or rust-colored?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesLDHA

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

GeneticNeurologicalInherited Metabolic

Also known as: glycogen storage disease caused by mutation in ldha; glycogen storage disease xi; glycogenosis due to lactate dehydrogenase m-subunit deficiency; gsd due to lactate dehydrogenase m-subunit deficiency; gsd xi; lactate dehydrogenase a deficiency

Patient organizations

Source: NIH GARD · Glycogen storage disease due to lactate dehydrogenase M-subunit deficiencyGARD ID 3160 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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