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Living with Congenital autosomal recessive small-platelet thrombocytopenia

A rare inherited condition with low, small platelets from birth, leading to bleeding such as skin spots and heavy periods.

Understanding Congenital autosomal recessive small-platelet thrombocytopenia

Congenital autosomal recessive small-platelet thrombocytopenia is a rare condition with low numbers of small platelets that starts in newborns.

People bleed more easily than expected. Bleeding signs include a rash of tiny red spots (petechiae), bleeding from mucous membranes and heavy menstrual bleeding. Growth and development are normal, and there is no increased risk of infections.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. The summary describes:

  • Low platelet count with small platelets
  • Tiny red spots on the skin (petechiae)
  • Bleeding from mucous membranes
  • Heavy menstrual bleeding

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 FYB1 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 FYB1 gene?
How should bleeding be handled during surgery or dental work?
Which medicines or activities should be avoided?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesFYB1

Changes in the FYB1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticBlood

Also known as: carst; carst - congenital autosomal recessive small-platelet thrombocytopenia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital autosomal recessive small-platelet thrombocytopeniaGARD ID 22274 · 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 autosomal recessive small-platelet thrombocytopenia.

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