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Living with Heme oxygenase 1 deficiency

A rare inherited metabolic condition affecting blood cells, blood vessels, and kidneys, starting in childhood.

Understanding Heme oxygenase 1 deficiency

Heme oxygenase 1 deficiency is a rare inherited metabolic condition that affects the blood, blood vessels, kidneys, and spleen.

People are born without a spleen. Symptoms start in childhood or the teen years and can include widespread inflammation, anemia from red blood cells breaking down, damage to blood vessel linings, bleeding problems, and kidney disease. Some have slower growth, mild differences in facial features, and an enlarged liver.

Signs & symptoms

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

  • No spleen at birth (asplenia)
  • Anemia from red blood cell breakdown
  • Blood in the urine
  • Nosebleeds
  • Enlarged liver (hepatomegaly)
  • Slower growth

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 genetic specialists.

  3. Consider genetic testing

    Changes in HMOX1 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
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
Could genetic testing for the HMOX1 gene help our family?
How should we protect against infection with no spleen?
How often should kidney function and blood counts be checked?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Recessive
GenesHMOX1

It is caused by changes in the HMOX1 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: heme oxygenase-1 deficiency; hmox1d; ho-1 (heme oxygenase-1) deficiency; ho-1 deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Heme oxygenase 1 deficiencyGARD ID 17995 · 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 Heme oxygenase 1 deficiency.

Explore the Heme oxygenase 1 deficiency blog

Explore research for Heme oxygenase 1 deficiency

Explore actively recruiting Heme oxygenase 1 deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Heme oxygenase 1 deficiency 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

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

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