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Living with Polyglucosan body myopathy type 2

A rare inherited muscle condition that causes slowly worsening weakness in the shoulders and hips, starting any time from childhood to late adulthood.

Understanding Polyglucosan body myopathy type 2

Polyglucosan body myopathy type 2 is a rare glycogen storage disease that causes slowly worsening muscle weakness.

An abnormal sugar-like substance (polyglucosan) builds up in muscle fibers. Weakness mostly affects muscles around the shoulders and hips (limb-girdle muscles). Some people have trouble with exercise or muscle aches. The age at onset ranges from childhood to late adulthood. GARD says there is usually no clear heart involvement.

Signs & symptoms

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

  • Weakness of the hip muscles
  • Weakness of the shoulder muscles
  • Muscle twitching (fibrillation)
  • Exercise intolerance or muscle aches (variable)

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 GYG1 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

    International Association for Muscle Glycogen Storage Disease 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: International Association for Muscle Glycogen Storage Disease
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 International Association for Muscle Glycogen Storage Disease 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
Should we have genetic testing for GYG1, and should relatives be tested?
Which exercises are safe and helpful for my muscles?
Should I have my heart checked even though it is not usually affected?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesGYG1

Changes in the GYG1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: gyg1 polyglucosan body myopathy; pgbm2 - polyglucosan body myopathy type 2; polyglucosan body myopathy caused by mutation in gyg1

Patient organizations

Source: NIH GARD · Polyglucosan body myopathy type 2GARD ID 17793 · 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 Polyglucosan body myopathy type 2.

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