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Living with Sialic acid storage disease, severe infantile type

A genetic condition in which a sugar-like substance builds up in cells, affecting the brain, face, liver and heart from before or soon after birth.

Understanding Sialic acid storage disease, severe infantile type

Sialic acid storage disease, severe infantile type, is the most severe form of a genetic condition in which free sialic acid builds up inside cell compartments called lysosomes.

It is part of a spectrum of nervous system conditions. The severe form causes major developmental delay, coarse facial features, an enlarged liver and spleen, and an enlarged heart. Signs begin during pregnancy or in the newborn period. A milder form, once called Salla disease, starts later and progresses slowly.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on its summary, the severe form includes:

  • Severe developmental delay
  • Coarse facial features
  • Enlarged liver and spleen
  • Enlarged heart

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 bone and joint specialists, brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in SLC17A5 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

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: 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 Epilepsy 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
Can genetic testing of the SLC17A5 gene confirm this diagnosis?
Which specialists should be on our care team?
What is the chance of this in a future pregnancy?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesSLC17A5

GARD lists changes in the SLC17A5 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: free sialic acid storage disease, infantile form; infantile free sialic acid storage disease; infantile sialic acid storage disease; infantile sialic acid storage disorder; issd; n-acetylneuraminic acid storage disease

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Sialic acid storage disease, severe infantile typeGARD ID 175 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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