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Living with Congenital dyserythropoietic anemia, type II

An inherited blood condition with mild to severe anemia, usually found in the teen or young adult years, with a risk of too much iron.

Understanding Congenital dyserythropoietic anemia, type II

Congenital dyserythropoietic anemia (CDA) type II is an inherited blood disorder that causes mild to severe anemia.

It is usually diagnosed in adolescence or early adulthood. Many people have yellow skin and eyes (jaundice), an enlarged liver and spleen, and gallstones. The body absorbs too much iron, which can build up and affect the heart, liver and blood sugar. Rarely, people have tumors in the middle of the chest (mediastinal tumors).

Signs & symptoms

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

  • Anemia from poor red blood cell production
  • Yellow skin and eyes (jaundice)
  • Enlarged spleen
  • Gallstones
  • Too much iron in the body (iron overload)

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 SEC23B 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 SEC23B gene?
How should iron levels be monitored and treated?
Should the gallbladder, heart and liver be checked?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesSEC23B

It usually results from changes in the SEC23B gene. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticBloodInherited Metabolic

Also known as: cda ii; cda type 2; cda type ii; cdan2; congenital dyserythropoietic anemia type 2; congenital dyserythropoietic anemia type ii

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital dyserythropoietic anemia, type IIGARD ID 2001 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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