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Living with TMEM165-congenital disorder of glycosylation

A rare genetic condition (TMEM165-CDG) with delayed development, bone and spine differences, and slow growth.

Understanding TMEM165-congenital disorder of glycosylation

TMEM165-CDG is a rare genetic condition of sugar attachment to proteins (congenital disorder of glycosylation) that affects development, growth, and bones.

It causes delayed development and slow growth after birth, along with major bone differences, including a curved spine. Other features include facial differences, kidney problems (nephrotic syndrome), heart defects, and feeding problems. It starts in the newborn period or infancy.

Signs & symptoms

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

  • Slow growth and trouble gaining weight
  • Low muscle tone (hypotonia)
  • Bone growth differences and osteoporosis
  • Loose joints (joint hypermobility)
  • Enlarged liver (hepatomegaly)
  • Low platelet count (thrombocytopenia)

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TMEM165 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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
  • 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 TMEM165 gene confirm this diagnosis?
How should the bones, spine, and kidneys be monitored?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTMEM165

This condition is caused by changes in the TMEM165 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 2k; carbohydrate deficient glycoprotein syndrome type iik; cdg iik; cdg syndrome type iik; cdg-iik; cdg2k

Patient organizations

  • CDG CARETMEM165-congenital disorder of glycosylation · United States
Source: NIH GARD · TMEM165-congenital disorder of glycosylationGARD ID 12413 · 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 TMEM165-congenital disorder of glycosylation.

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