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Living with Glycogen storage disease, type VI

Also called Hers disease: an inherited condition in which the liver can't break down glycogen, causing an enlarged liver and low blood sugar when fasting.

Understanding Glycogen storage disease, type VI

Glycogen storage disease type VI (Hers disease) is an inherited disorder in which liver cells can't break down glycogen.

Signs usually begin in infancy to early childhood. The first sign is usually an enlarged liver. During long periods without food, people may have low blood sugar or high ketones in the blood. Children tend to grow slower than their peers but often reach normal adult height. Symptoms tend to improve with age, and most adults have no related health problems.

Signs & symptoms

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

  • Enlarged liver (hepatomegaly)
  • Slower growth
  • Delayed puberty
  • Low blood sugar when fasting
  • Mild delays in motor skills
  • Thin or weak bones (osteopenia or osteoporosis)

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 digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PYGL 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
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
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 Association for Glycogen Storage Disease
  • 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 PYGL gene?
How long can my child safely go without eating?
How should growth and bone health be monitored?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesPYGL

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

GeneticGastrointestinalInherited Metabolic

Also known as: glycogen storage disease caused by mutation in pygl; glycogen storage disease due to liver glycogen phosphorylase deficiency; glycogen storage disease type 6; glycogen storage disease type 6, due to phosphorylation; glycogen storage disease type vi; glycogen storage disease vi

Patient organizations

Source: NIH GARD · Glycogen storage disease, type VIGARD ID 6529 · 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 Glycogen storage disease, type VI.

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