raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79318

PMM2-CDG

Synonyms: CDG syndrome type Ia · CDG-Ia · CDG1A · Carbohydrate deficient glycoprotein syndrome type Ia · Congenital disorder of glycosylation type 1a · Congenital disorder of glycosylation type Ia · Phosphomannomutase 2 deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare congenital disorder of N-glycosylation and is characterized by cerebellar dysfunction, abnormal fat distribution, inverted nipples, strabismus and hypotonia. 3 forms of PMM2-CDG can be distinguished: the infantile multisystem type, late-infantile and childhood ataxia-intellectual disability type (3-10 yrs old), and the adult stable disability type. Infants usually develop ataxia, psychomotor delay and extraneurological manifestations including failure to thrive, enteropathy, hepatic dysfunction, coagulation abnormalities and cardiac and renal involvement. The phenotype is however highly variable and ranges from infants who die in the first year of life to mildly involved adults.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPMM2-CDGCDG syndrome type Ia · CDG-Ia · CDG1A · Carbohydrate deficient glycoprotein syndrome type Ia · Congenital disorder of glycosylation type 1a · Congenital disorder of glycosylation type Ia · Phosphomannomutase 2 deficiency
frPMM2-CDGAnomalie congénitale de la glycosylation type 1a · Anomalie congénitale de la glycosylation type Ia · CDG1A · Déficit en phosphomannomutase 2 · Syndrome CDG type Ia · Syndrome des glycoprotéines déficientes en hydrates de carbone type Ia
dePMM2-CDGCDG1A · Kohlenhydrat-defizientes Glykoprotein-Syndrom Ia · Kongenitaler Defekt der Glycoproteinbiosynthese Typ Ia · Phosphomannomutase 2-Mangel · CDG-Ia · CDG-Syndrom Typ Ia
esPMM2-CDGCDG-Ia · CDG1A · Deficiencia de fosfomanomutasa 2 · Síndrome CDG tipo Ia · Síndrome de glicoproteínas deficientes en carbohidratos tipo Ia · Trastorno congénito de la glicosilación tipo 1a · Trastorno congénito de la glicosilación tipo Ia
itPMM2-CDGCDG-Ia · CDG1A · Deficit di fosfomannomutasi 2 · Disturbo congenito della glicosilazione, tipo 1a · Disturbo congenito della glicosilazione, tipo Ia · Sindrome CDG, tipo Ia · Sindrome delle glicoproteine carenti in carboidrati, tipo Ia
nlPMM2-CDGCongenitale defecten van de glycosylering type Ia · Congenitale glycosylatiestoornis type Ia · Fosfomannomutase 2-deficiëntie · Koolhydraatdeficiënt glycoproteïne-syndroom type Ia · CDG-Ia · CDG-syndroom type Ia · CDG1A · Congenitale glycosylatiestoornis type 1a · Congenitale defecten van de glycosylering type 1a
ptPMM2-CDGCDG-Ia · CDG1A · Deficiência de fosfomanomutase 2 · Doença congénita da glicosilação tipo 1a · Doença congénita da glicosilação tipo Ia · Síndrome CDG tipo Ia · Síndrome de glicoproteína deficiente em carbohidratos tipo Ia
plPMM2-CDGCDG1A · CDG-Ia · Niedobór fosfomannomutazy 2 · Wrodzone zaburzenie glikozylacji typu 1a · Wrodzone zaburzenie glikozylacji typu Ia · Zespół CDG typu Ia · Zespół obniżonej glikozylacji glikoprotein typu Ia
csPMM2-CDGCDG syndrom, typ Ia · CDG-Ia · CDG1A · Carbohydrate deficient glycoprotein syndrom type Ia · Vrozená porucha glykosylace, typ 1a · Vrozená porucha glykosylace, typ Ia · Deficit fosfomannomutázy 2 · Syndrom s deficitem karbohydrátového glykoproteinu typ Ia
ukPMM2-CDGВуглеводно-дефіцитний глікопротеїновий синдром типу Ia · Синдром CDG, тип Ia · CDG1A · CDG-Іа · Вроджене порушення глікозилювання типу 1а · Вроджене порушення глікозилювання типу Ia · Дефіцит фосфоманномутази 2
zh先天性糖基化障碍1a型碳水化合物缺乏糖蛋白综合征Ia型
trPMM2-CDGCDG1A · CDG-Ia · CDG sendromu tip Ia · Fosfomannomutaz 2 eksikliği · Tip 1a'nın doğumsal glikozilasyon bozukluğu · Tip Ia'nın Doğumsal bozukluğu · Karbonhidrat eksikliği olan glikoprotein sendromu tip Ia

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM212065Evalidated
ICD-10E77.8NTBTattributedvalidated
ICD-115C54.0NTBTindexvalidated
MONDO0008907Evalidated
MeSHC535739Evalidated
UMLSC0349653Evalidated
GARD9826Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PMM2Disease-causing germline mutation(s) inAssessedHGNC:9115ENSG0000014065060178516p13.2phosphomannomutase 220301289[PMID]_20301507[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001.73 / 100 000ItalyValue and classValidated11953730[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_19862844[PMID]
Prevalence at birth1-9 / 100 000—EuropeClass onlyValidated10854097[PMID]_11953730[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

86 annotations · validated 2019-04-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000218High palate
HP:0000486Strabismus
HP:0000582Upslanted palpebral fissure
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0007552Abnormal subcutaneous fat tissue distribution
HP:0000463Anteverted nares
HP:0008936Axial hypotonia
HP:0001321Cerebellar hypoplasia
HP:0012448Delayed myelination
HP:0000750Delayed speech and language development
HP:0000286Epicanthus
HP:0000565Esotropia
HP:0011968Feeding difficulties
HP:0001263Global developmental delay
HP:0000316Hypertelorism
HP:0001265Hyporeflexia
HP:0003186Inverted nipples
HP:0001382Joint hypermobility
HP:0002751Kyphoscoliosis
HP:0009125Lipodystrophy
HP:0000276Long face
HP:0100807Long fingers
HP:0000343Long philtrum
HP:0000303Mandibular prognathia
HP:0000938Osteopenia
HP:0000939Osteoporosis
HP:0001763Pes planus
HP:0011220Prominent forehead
HP:0000448Prominent nose
HP:0000278Retrognathia
HP:0001250Seizure
HP:0000219Thin upper lip vermilion
HP:0002013Vomiting
HP:0000154Wide mouth
Occasional (29-5%)
HP:0030146Abnormal liver parenchyma morphology
HP:0000377Abnormal pinna morphology
HP:0000091Abnormal renal tubule morphology
HP:0011443Abnormality of coordination
HP:0011842Abnormality of skeletal morphology
HP:0010463Aplasia of the ovary
HP:0011951Aspiration pneumonia
HP:0001251Ataxia
HP:0000518Cataract
HP:0001320Cerebellar vermis hypoplasia
HP:0008734Decreased testicular size
HP:0000845Elevated circulating growth hormone concentration
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002925Elevated circulating thyroid-stimulating hormone concentration
HP:0002280Enlarged cisterna magna
HP:0001508Failure to thrive
HP:0001945Fever
HP:0001395Hepatic fibrosis
HP:0000842Hyperinsulinemia
HP:0012882Hyperplastic labia majora
HP:0003073Hypoalbuminemia
HP:0000044Hypogonadotropic hypogonadism
HP:0000870Increased circulating prolactin concentration
HP:0000855Insulin resistance
HP:0001249Intellectual disability
HP:0000400Macrotia
HP:0002828Multiple joint contractures
HP:0005562Multiple renal cysts
HP:0000545Myopia
HP:0000100Nephrotic syndrome
HP:0001698Pericardial effusion
HP:0009830Peripheral neuropathy
HP:0030609Photoreceptor layer loss on macular OCT
HP:0000426Prominent nasal bridge
HP:0000093Proteinuria
HP:0001976Reduced antithrombin III activity
HP:0011858Reduced factor IX activity
HP:0001929Reduced factor XI activity
HP:0012509Reduced thyroxin-binding globulin
HP:0002098Respiratory distress
HP:0000510Rod-cone dystrophy
Very rare (<4-1%)
HP:0012050Anasarca
HP:0001681Angina pectoris
HP:0001305Dandy-Walker malformation
HP:0002625Deep venous thrombosis
HP:0001639Hypertrophic cardiomyopathy
HP:0031404Impaired antigen-specific response
HP:0040238Impaired neutrophil chemotaxis
HP:0002170Intracranial hemorrhage
HP:0001004Lymphedema
HP:0001701Pericarditis
HP:0000926Platyspondyly

Run the differential on the 3 obligate / very frequent terms

Annotation source: 29079546[PMID]_29229467[PMID]_28425223[PMID]_30464053[PMID]_20301289[PMID]

7

Sources for this card