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Living with RFT1-congenital disorder of glycosylation

A rare inherited metabolic condition starting in infancy that affects feeding, muscle tone, development, seizures, and hearing.

Understanding RFT1-congenital disorder of glycosylation

RFT1-congenital disorder of glycosylation (RFT1-CDG) is a rare inherited condition that affects how the body builds certain sugar-linked proteins.

Babies may have poorly coordinated sucking, trouble feeding, and poor weight gain. Other features include low muscle tone, jerking movements that can progress to seizures, roving eyes, developmental delay, and hearing loss. Blood clotting differences and a small head size may also be seen. It begins in the newborn and infant period.

Signs & symptoms

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

  • Global developmental delay
  • Low muscle tone (hypotonia)
  • Seizures
  • Feeding trouble and poor weight gain
  • Hearing and vision impairment
  • Bleeding or clotting problems

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RFT1 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 and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE, Epilepsy 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
Should we have genetic testing for the RFT1 gene?
What feeding support could help my child?
Should we have blood clotting checked before procedures?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesRFT1

It is caused by changes in the RFT1 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalGastrointestinalInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type in; cdg in; cdg syndrome type in; cdg-in; cdg1n; congenital disorder of glycosylation type 1n

Patient organizations

Source: NIH GARD · RFT1-congenital disorder of glycosylationGARD ID 12394 · 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 RFT1-congenital disorder of glycosylation.

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