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Living with MPI-congenital disorder of glycosylation

A rare inherited condition with repeated vomiting, low blood sugar, liver and gut problems, and blood clotting differences, usually with normal thinking.

Understanding MPI-congenital disorder of glycosylation

MPI-congenital disorder of glycosylation (MPI-CDG) is a rare inherited condition that affects the liver, gut, and blood clotting.

Features include cyclic vomiting, very low blood sugar, trouble gaining weight, liver scarring, and digestive problems such as protein loss through the gut. Blood clotting problems can cause clots. Brain development and thinking skills are usually normal. The course varies, even within families. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Vomiting and diarrhea
  • Trouble gaining weight
  • Enlarged liver and liver scarring
  • Protein loss through the gut
  • Blood clotting differences, including clots
  • Swelling from fluid build-up

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MPI 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 may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE
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 MPI gene confirm this diagnosis?
How should the liver, gut, and blood clotting be monitored?
Which specialists should be on the care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesMPI

This condition is caused by changes in the MPI gene that stop it from working. 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 ib; cdg ib; cdg syndrome type ib; cdg-ib; cdg1b; congenital disorder of glycosylation type 1b

Patient organizations

Source: NIH GARD · MPI-congenital disorder of glycosylationGARD ID 9830 · 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 MPI-congenital disorder of glycosylation.

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