Skip to content
knowrare
HealthSignal
Your condition community

Living with Familial isolated congenital asplenia

A rare inherited condition in which a baby is born without a working spleen, raising the risk of serious infections.

Understanding Familial isolated congenital asplenia

Familial isolated congenital asplenia is a rare condition in which the spleen is missing or does not work from birth.

Without a working spleen, the immune system is weakened. Otherwise healthy infants may have severe, repeated infections, especially pneumococcal sepsis (a bloodstream infection). In adults with no early severe infection, a high platelet count may be the first sign. It is not part of a larger syndrome.

Signs & symptoms

GARD doesn't list common symptoms. It lists these findings as less common:

  • Severe, repeated infections in infancy
  • Absent spleen
  • High platelet count (thrombocytosis)
  • Howell-Jolly bodies on a blood smear

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 allergy and immune system specialists, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RPSA are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency Foundation
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 Immune Deficiency Foundation
  • 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 can be done to help prevent serious infections?
Should we have genetic testing for the RPSA gene?
Which tests confirm the spleen is absent or not working?

Quick facts

InheritanceAutosomal Dominant
GenesRPSA

Changes in the RPSA gene cause it. It is autosomal dominant, which means one changed copy of the gene is enough.

GeneticGastrointestinal

Also known as: asplenia, familial; asplenia, isolated congenital; congenital hypoplasia of spleen; congenital microsplenia; congenital small spleen; hypoplasia of spleen

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Familial isolated congenital aspleniaGARD ID 16944 · 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 Familial isolated congenital asplenia.

Explore the Familial isolated congenital asplenia blog

Explore research for Familial isolated congenital asplenia

Explore actively recruiting Familial isolated congenital asplenia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Familial isolated congenital asplenia 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

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Familial isolated congenital asplenia studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Familial isolated congenital asplenia

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Familial isolated congenital asplenia

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Familial isolated congenital asplenia experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.