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Living with Familial pseudohyperkalemia

An inherited, mild red blood cell condition that makes potassium look high in blood samples stored in the cold.

Understanding Familial pseudohyperkalemia

Familial pseudohyperkalemia (FP) is an inherited, mild red blood cell condition that causes falsely high potassium readings in some blood samples.

Red cells leak potassium when a sample is stored below body temperature, so lab results can look high. It is a mild type of hereditary stomatocytosis and does not cause other blood problems, though red cells may be slightly larger than usual (macrocytosis). It can be found at any time in life.

Signs & symptoms

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

  • High blood pressure (hypertension)
  • Stomatocytosis (mouth-shaped red blood cells)
  • Falsely high potassium in stored samples
  • Slightly large red blood cells (macrocytosis)

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 ABCB6 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
How can lab results be handled to avoid false readings?
Could genetic testing for ABCB6 confirm the diagnosis?
Should my relatives be tested?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant
GenesABCB6

Changes in the ABCB6 gene cause it. It is autosomal dominant, which means one changed copy of the gene is enough.

GeneticBlood

Also known as: cryohydrocytosis, mild; pseudohyperkalemia chiswick; pseudohyperkalemia east london; pseudohyperkalemia falkirk; pseudohyperkalemia lille; pseudohyperkalemia, familial, 2, due to red cell leak

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial pseudohyperkalemiaGARD ID 16785 · 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 pseudohyperkalemia.

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