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Living with Alpha-2-plasmin inhibitor deficiency

A rare bleeding disorder present from birth, causing long bleeding and bruising after minor injuries.

Understanding Alpha-2-plasmin inhibitor deficiency

Alpha-2-plasmin inhibitor deficiency is a rare bleeding disorder caused by a lack of a protein called alpha2 antiplasmin.

Without enough of this protein, blood clots break down too quickly. People have a tendency to bleed from childhood, with prolonged bleeding and bruising after minor injuries. Bleeding can also happen on its own, sometimes in unusual places such as the shafts of long bones.

Signs & symptoms

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

  • Bleeding more easily than usual
  • Bleeding that lasts long after minor injuries
  • Bleeding into a joint
  • Blood in the urine (hematuria)
  • Bleeding into muscle (hematoma)
  • Blood in the chest cavity (hemothorax)

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 blood and bone marrow specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SERPINF2 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
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
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
Is genetic testing for SERPINF2 available for our family?
How should I plan for surgery or dental work?
Which specialists, such as a blood doctor, should I see?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesSERPINF2

Changes in the SERPINF2 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticBlood

Also known as: antiplasmin deficiency; antiplasmin defiency; congenital alpha2-antiplasmin deficiency; plasmin inhibitor deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Alpha-2-plasmin inhibitor deficiencyGARD ID 731 · 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 Alpha-2-plasmin inhibitor deficiency.

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