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Living with Atransferrinemia

A very rare inherited blood condition in which the body lacks transferrin, causing anemia and iron overload.

Understanding Atransferrinemia

Atransferrinemia is a very rare inherited blood condition caused by a lack of transferrin, a protein that carries iron in the blood.

It causes anemia, where red blood cells are small and pale, leading to paleness, tiredness, and slow growth. Iron also builds up in the body (iron overload). It begins in infancy and childhood. GARD notes it can be serious if left untreated.

Signs & symptoms

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

  • Anemia (low red blood cells or hemoglobin)
  • Paleness
  • Tiredness
  • Slow growth
  • Frequent infections

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 TF 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
What treatment is recommended for the low transferrin and anemia?
How should iron levels in the body be monitored?
Would TF testing help other family members?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesTF

GARD says changes in the TF gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticBloodInherited Metabolic

Also known as: congenital atransferrinaemia; congenital atransferrinemia; congenital hypotransferrinemia; familial hypotransferrinemia; hereditary atransferrinemia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · AtransferrinemiaGARD ID 9595 · 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 Atransferrinemia.

Explore the Atransferrinemia blog

Explore research for Atransferrinemia

Explore actively recruiting Atransferrinemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Atransferrinemia 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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