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Living with Wolman disease

An inherited condition present from infancy in which the body can't process certain fats, causing fat buildup in organs.

Understanding Wolman disease

Wolman disease is a congenital condition in which the body can't properly break down fats (lipids).

It is the most severe type of lysosomal acid lipase deficiency. Fats build up in organs, and calcium deposits form in the adrenal glands. In infants, it can cause an enlarged liver and spleen, poor weight gain, low muscle tone, jaundice, vomiting, diarrhea, developmental delay, and anemia.

Signs & symptoms

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

  • Enlarged liver and spleen
  • Poor weight gain and growth
  • Vomiting and diarrhea
  • Fatty stools and poor food absorption
  • Swollen belly
  • Developmental delay

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 digestive system specialists, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in LIPA 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

    LAL-D Aware may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: LAL-D Aware
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 LAL-D Aware
  • 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
Could LIPA genetic testing help our family?
Which specialists should be on my child's care team?
How can feeding and nutrition be supported?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesLIPA

Wolman disease is caused by changes in the LIPA gene, which makes lysosomal acid lipase. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrineGastrointestinalInherited MetabolicLysosomal Storage

Also known as: acid cholesteryl ester hydrolase deficiency, wolman type; acid esterase deficiency; acid lipase deficiency; acid lipase disease; cholesterol ester hydrolase deficiency, complete; deficiency of cholesterol esterase and triacylglycerol lipase

Patient organizations

Source: NIH GARD · Wolman diseaseGARD ID 7899 · 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 Wolman disease.

Explore the Wolman disease blog

Explore research for Wolman disease

Explore actively recruiting Wolman disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Wolman disease 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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