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Living with Griscelli syndrome type 2

A rare inherited condition with light skin, silver hair, and an immune system that doesn't work well, with frequent infections.

Understanding Griscelli syndrome type 2

Griscelli syndrome type 2 is a rare inherited condition that affects the skin, hair, and immune system.

People have unusually light skin and silver-colored hair. They are prone to repeated infections and can develop an immune condition called hemophagocytic lymphohistiocytosis (HLH), which can damage organs and tissues throughout the body. It usually begins in infancy or childhood.

Signs & symptoms

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

  • Light skin and silver hair
  • Weakened immune system and repeated infections
  • Enlarged liver and spleen
  • Yellowing of skin and eyes (jaundice)
  • Low blood cell counts
  • Premature graying of hair

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, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RAB27A 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); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); 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 and other patient organizations
  • 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 RAB27A gene?
Which treatments are used for HLH?
Which specialists, such as immune and blood doctors, should be on my team?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesRAB27A

Changes in the RAB27A gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalSkin

Also known as: griscelli syndrome with hemophagocytic syndrome; griscelli-pruniéras syndrome type 2; gs2; hypopigmentation-immunodeficiency with or without neurologic impairment syndrome; paid syndrome; partial albinism and immunodeficiency syndrome

Patient organizations

Source: NIH GARD · Griscelli syndrome type 2GARD ID 4483 · 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 Griscelli syndrome type 2.

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