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Living with Congenital analbuminemia

A rare inherited condition with little or no albumin, a blood protein, usually causing only a few mild signs such as tiredness and swelling.

Understanding Congenital analbuminemia

Congenital analbuminemia (CAA) is a rare disorder in which the blood has little or no human serum albumin.

Albumin is the most common protein in blood plasma, yet people with CAA usually have only a few mild signs. They may lose fat tissue and have high cholesterol, which can lead to early artery and heart problems. Rarely, there can be too much blood clotting, weak bones or respiratory infections. It is more severe in the fetus or early infancy.

Signs & symptoms

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

  • Tiredness (fatigue)
  • Swelling (edema), including in the legs
  • Loss of healthy fat tissue (lipodystrophy)
  • Premature birth
  • Small size for gestational age
  • High cholesterol

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 ALB 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
Should we have genetic testing for the ALB gene?
How should cholesterol and heart health be monitored?
What can help with swelling?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesALB

It is caused by changes in the ALB gene. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticBlood

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital analbuminemiaGARD ID 13056 · 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 analbuminemia.

Explore the Congenital analbuminemia blog

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Explore actively recruiting Congenital analbuminemia studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • 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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