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Living with Isolated sedoheptulokinase deficiency

A rare inherited metabolic condition with high levels of certain sugars in the urine and a wide range of possible features, starting before or at birth.

Understanding Isolated sedoheptulokinase deficiency

Isolated sedoheptulokinase deficiency is a rare inherited disorder of how the body processes sugars (pentose phosphate metabolism).

Urine has higher levels of sedoheptulose and erythritol. It can start during pregnancy or in newborns. GARD lists many possible features, including joint contractures, liver and kidney differences, anemia, and facial and skull differences.

Signs & symptoms

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

  • Stiff, bent joints (arthrogryposis, flexion contractures)
  • Liver disease with slowed bile flow (cholestasis)
  • Anemia with small, pale red blood cells
  • Fat in the stool (steatorrhea)
  • Hip dysplasia
  • Larger than usual head (macrocephaly)

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. Consider genetic testing

    Changes in SHPK 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
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 rare disease patient organizations for support
  • 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 for the SHPK gene confirm the diagnosis?
Which urine or blood tests will we use to track this condition?
Which specialists should follow the liver, joints, and kidneys?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesSHPK

Changes in the SHPK gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: deficiency of heptulokinase; deficiency of sedoheptulokinase; isolated shpk deficiency; sedoheptulokinase deficiency; shpkd

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Isolated sedoheptulokinase deficiencyGARD ID 18652 · 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 Isolated sedoheptulokinase deficiency.

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