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Living with TMEM199-CDG

A rare genetic condition (TMEM199-CDG) that causes long-lasting, steady liver problems, often without symptoms.

Understanding TMEM199-CDG

TMEM199-CDG is a rare congenital disorder of glycosylation that causes chronic, non-worsening liver disease.

Liver tests may show mild fat buildup, raised liver enzymes and cholesterol, and low levels of some clotting factors. A liver biopsy may show mild scarring (fibrosis) that does not progress. People usually have no symptoms. Delayed development and low muscle tone have been reported in single cases.

Signs & symptoms

GARD lists few symptoms for this condition. People usually have none, but may have:

  • Enlarged liver (hepatomegaly)
  • Scarring of the liver (hepatic fibrosis)
  • Decreased liver function

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 genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in VMA12 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
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 VMA12 gene confirm this diagnosis?
How often should liver tests be done?
Which specialists, such as a liver specialist, should we see?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesVMA12

This condition is caused by changes in the VMA12 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticEndocrineInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type iip; cdg (congenital disorder of glycosylation) syndrome type iip; cdg iip; cdg syndrome type iip; cdg-iip; cdg2p

Patient organizations

Source: NIH GARD · TMEM199-CDGGARD ID 17825 · 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 TMEM199-CDG.

Explore the TMEM199-CDG blog

Explore research for TMEM199-CDG

Explore actively recruiting TMEM199-CDG studies with HealthSpark.

HealthSpark

Find actively recruiting studies for TMEM199-CDG with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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