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Living with MOGS-congenital disorder of glycosylation

A rare inherited condition with low muscle tone, seizures, feeding problems, and distinctive facial features, starting in the newborn period.

Understanding MOGS-congenital disorder of glycosylation

MOGS-congenital disorder of glycosylation (MOGS-CDG) is a rare inherited condition that affects how the body attaches sugar chains to proteins.

Features include low muscle tone, certain facial features, underdeveloped genitals, seizures, feeding difficulties, and slow breathing. People may also have very low levels of antibodies (hypogammaglobulinemia) with swelling throughout the body. They may be more resistant to certain viral infections. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Low muscle tone in infancy (floppy infant)
  • Seizures
  • Distinctive facial features, such as a wide nose and long eyelashes
  • Receding chin (retrognathia)
  • Underdeveloped external genitals
  • Extra body hair (hirsutism)

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 allergy and immune system specialists, brain and nervous system specialists, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MOGS 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

    CDG CARE, Epilepsy Foundation and Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE, Epilepsy Foundation, Immune Deficiency 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 CDG CARE and other patient organizations
  • 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 MOGS gene confirm this diagnosis?
How should seizures, feeding, and breathing be managed?
Should immune function and antibody levels be checked?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesMOGS

This condition is caused by changes in the MOGS gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalGastrointestinalInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type iib; cdg 2b; cdg iib; cdg syndrome type iib; cdg-iib; cdg2b

Patient organizations

Source: NIH GARD · MOGS-congenital disorder of glycosylationGARD ID 10767 · 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 MOGS-congenital disorder of glycosylation.

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