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Living with Transketolase deficiency

A rare genetic condition with developmental delay, heart defects, short stature, and delayed or absent speech.

Understanding Transketolase deficiency

Transketolase deficiency is a rare genetic condition that affects how the body handles certain sugars and causes developmental delay and heart defects.

People have developmental delay, intellectual disability, delayed or absent speech, short stature, and heart defects. Other features can include low muscle tone, hyperactivity, eye problems such as cataracts, and hearing loss. Lab tests show high levels of certain sugar alcohols in blood and urine. It starts in the newborn period or infancy.

Signs & symptoms

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

  • Global developmental delay
  • Delayed or absent speech
  • Heart defects, such as holes between heart chambers
  • Mild intellectual disability
  • Low muscle tone (hypotonia)
  • Cataract and eye inflammation (uveitis)

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 heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in TKT are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 TKT gene confirm this diagnosis?
Which specialists should check the heart, eyes, and hearing?
What speech and developmental therapies could help?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTKT

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

GeneticNeurologicalInherited Metabolic

Also known as: short stature-developmental delay-congenital heart defect syndrome; short stature, developmental delay, and congenital heart defects; short stature, developmental delay, congenital heart defect syndrome; tkt (transketolase) deficiency disorder; tkt deficiency; transketolase deficiency disorder

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Transketolase deficiencyGARD ID 17894 · 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 Transketolase deficiency.

Explore the Transketolase deficiency blog

Explore research for Transketolase deficiency

Explore actively recruiting Transketolase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Transketolase deficiency 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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