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Living with Congenital amegakaryocytic thrombocytopenia

A rare inherited bone marrow condition in young children where too few platelets are made, causing bruising and bleeding.

Understanding Congenital amegakaryocytic thrombocytopenia

Congenital amegakaryocytic thrombocytopenia is a rare inherited bone marrow failure syndrome in which the bone marrow does not make platelets.

Without platelets, blood does not clot well. Petechiae (tiny red spots), bruising and bleeding usually begin at birth or in the first year. Over time the marrow may stop making red blood cells and neutrophils too, and about half of children develop aplastic anemia. Diagnosis is usually made by 1 month of age. Some people are at risk of leukemia.

Signs & symptoms

Symptoms vary from person to person. GARD's summary lists these:

  • Tiny red spots on the skin (petechiae)
  • Easy bruising
  • Bleeding
  • Aplastic anemia in nearly half of children
  • Brain or heart differences in some

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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
Should we have genetic testing for the MPL gene?
How often should blood counts be checked?
What treatment options exist for bone marrow failure?

Quick facts

It is caused by changes in the MPL gene.

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital amegakaryocytic thrombocytopeniaGARD ID 26560 · 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 Congenital amegakaryocytic thrombocytopenia.

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