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An autosomal recessive condition caused by pathogenic variant(s) of the POGLUT1 gene, encoding protein O-glucosyltransferase 1. It is characterized by progressive muscular dystrophy, primarily affecting the proximal muscles, resulting in difficulty walking. A characteristic finding of “inside-to-outside” fatty degeneration on muscle imaging has been noted in patients.
Features include always present findings: Skeletal muscle atrophy, Scapular winging, Fatty replacement of skeletal muscle, and Proximal lower limb muscle weakness and others; and common findings: Restrictive ventilatory defect, Reduced FEV1/FVC ratio, Reduced forced vital capacity, and Loss of ambulation. 12 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Skeletal muscle atrophy, Fatty replacement of skeletal muscle, Proximal lower limb muscle weakness |
POGLUT1 function has not been fully characterized.
Autosomal recessive limb-girdle muscular dystrophy type 2R1 is associated with mutations in the POGLUT1 gene on chromosome 3.
Genetic testing for POGLUT1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features, 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 5:51 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Lungs and breathing | 3 | Difficulty breathing (respiratory insufficiency), Restrictive ventilatory defect, Airway obstruction |
Bones and joints | 2 | Skeletal muscle atrophy, Fatty replacement of skeletal muscle |
Arms and legs | 2 | Proximal lower limb muscle weakness, Limb-girdle muscular dystrophy |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |