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Living with Limb-girdle muscular dystrophy due to POMK deficiency

An inherited muscle condition starting in infancy with weak muscles, late walking, and mild facial weakness.

Understanding Limb-girdle muscular dystrophy due to POMK deficiency

Limb-girdle muscular dystrophy due to POMK deficiency is a form of limb-girdle muscular dystrophy that begins in infancy.

Babies have muscle weakness and delayed motor skills, learning to walk at around 18 months. Weakness in the muscles near the center of the body slowly progresses. The calf muscles can look enlarged, the face may be mildly weak, and intelligence may be in the borderline range.

Signs & symptoms

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

  • Weakness of the hip and shoulder muscles
  • Delayed walking
  • Trouble climbing stairs
  • Gowers sign (using hands to push up from the floor)
  • Low muscle tone as a newborn
  • Borderline intellectual disability

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 POMK 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

    The Speak Foundation 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: The Speak 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 The Speak 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
Would POMK gene testing help our family?
Which therapies can help with strength and walking?
What learning supports might my child need?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesPOMK

It is caused by changes in the POMK gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: lgmd due to pomk deficiency; limb girdle muscular dystrophy due to pomk deficiency; limb girdle muscular dystrophy due to protein o-mannose kinase deficiency; muscular dystrophy-dystroglycanopathy (limb-girdle), type c, 12; muscular dystrophy-dystroglycanopathy, limb-girdle, pomk-related

Patient organizations

Source: NIH GARD · Limb-girdle muscular dystrophy due to POMK deficiencyGARD ID 17769 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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