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Living with Hemoglobin E disease

A mild inherited blood condition with an abnormal hemoglobin, often with no symptoms.

Understanding Hemoglobin E disease

Hemoglobin E disease is a mild, inherited blood condition in which the body makes an abnormal form of hemoglobin called hemoglobin E.

People may have very mild anemia, but the condition typically does not cause any symptoms. The genetic change that causes it mainly occurs in Southeast Asian populations, and rarely in Chinese populations. It can be found at any time in life.

Signs & symptoms

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

  • Abnormal hemoglobin
  • Mild anemia
  • Smaller, paler red blood cells
  • Less hemoglobin A
  • Higher red blood cell count

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 HBB 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

    Cooley's Anemia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
Expert care
Expert lists: Cooley's Anemia 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 Cooley's Anemia 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
Do I need any regular blood tests for this condition?
How could my partner's hemoglobin type affect our children?
Does anything in my blood results need follow-up?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesHBB

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

GeneticBlood

Also known as: hb-e disease; hemoglobin e-e disease; homozygous for hb e

Patient organizations

Source: NIH GARD · Hemoglobin E diseaseGARD ID 2641 · 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 Hemoglobin E disease.

Explore the Hemoglobin E disease blog

Explore research for Hemoglobin E disease

Explore actively recruiting Hemoglobin E disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hemoglobin E disease 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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