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Living with Ghosal hematodiaphyseal dysplasia

A rare inherited condition with thick, dense bones and low red blood cells (anemia), starting in early childhood.

Understanding Ghosal hematodiaphyseal dysplasia

Ghosal hematodiaphyseal dysplasia is a rare inherited condition with abnormally thick bones and anemia.

Signs appear in early childhood. The long bones of the arms and legs are unusually dense and wide, which can lead to bowed legs and trouble walking. Scarring (fibrosis) of the bone marrow means it can't make enough red blood cells, which causes anemia.

Signs & symptoms

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

  • Thick, dense long bones
  • Bowed legs and trouble walking
  • Anemia (low red blood cells)
  • Very pale skin
  • Excessive tiredness (fatigue)
  • Extra bone growth of the skull and face

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 bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TBXAS1 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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
Can genetic testing confirm a change in the TBXAS1 gene?
How should anemia and bone marrow health be monitored?
Which specialists should be on my care team, such as a blood doctor or bone specialist?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesTBXAS1

Changes in the TBXAS1 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: diaphyseal dysplasia anemia syndrome; diaphyseal dysplasia with anemia; diaphyseal dysplasia-anemia syndrome; ghosal hematodiaphyseal syndrome; ghosal syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Ghosal hematodiaphyseal dysplasiaGARD ID 10297 · 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 Ghosal hematodiaphyseal dysplasia.

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