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Living with XYLT1-congenital disorder of glycosylation

A rare inherited condition with moderate intellectual disability, short stature, mild bone changes and distinctive facial features.

Understanding XYLT1-congenital disorder of glycosylation

XYLT1-congenital disorder of glycosylation is a rare inherited condition that affects thinking and learning, growth, bones and facial features.

People have moderate intellectual disability, short stature and mild bone changes. Facial features can include a coarse face, joined eyebrows and deep lines from the nose to the mouth. Bone changes can include broad ribs, stocky long bones and broad thumbs. Onset is in the newborn and infant years.

Signs & symptoms

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

  • Moderate intellectual disability
  • Growth delay
  • Small head size (microcephaly)
  • Broad ribs and broad thumbs
  • Very flexible joints and joint dislocation
  • Coarse, round face with joined eyebrows (synophrys)

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in XYLT1 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
Brain and nervous system specialists (neurologists); 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
Could genetic testing of the XYLT1 gene confirm the diagnosis?
Which specialists should follow bones, joints and growth?
What supports can help with learning and development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesXYLT1

Changes in the XYLT1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: xylosyltransferase 1 congenital disorder of glycosylation; xylt1-cdg; xylt1-cdg - xylosyltransferase 1 congenital disorder of glycosylation; xylt18-cdg

Patient organizations

  • CDG CAREXYLT1-congenital disorder of glycosylation · United States
Source: NIH GARD · XYLT1-congenital disorder of glycosylationGARD ID 21599 · 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 XYLT1-congenital disorder of glycosylation.

Explore the XYLT1-congenital disorder of glycosylation blog

Explore research for XYLT1-congenital disorder of glycosylation

Explore actively recruiting XYLT1-congenital disorder of glycosylation studies with HealthSpark.

HealthSpark

Find actively recruiting studies for XYLT1-congenital disorder of glycosylation with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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