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Living with Hemoglobin M disease

An inherited blood condition that gives the skin, lips, and nails a bluish tint, usually without other health problems.

Understanding Hemoglobin M disease

Hemoglobin M disease (methemoglobinemia, beta-globin type) is an inherited condition in which red blood cells carry oxygen less well.

People have an abnormal form of hemoglobin called methemoglobin, which cannot deliver oxygen to the body's tissues as well as normal hemoglobin. It turns the blood brown and gives the skin, lips, and nails a bluish look (cyanosis), usually first seen around 6 months of age. The cyanosis does not usually cause health problems.

Signs & symptoms

Symptoms vary from person to person. GARD describes these signs:

  • Bluish skin, lips, and nails (cyanosis)
  • Brown-colored blood
  • Headaches, in rare severe cases
  • Weakness, in rare severe cases
  • Tiredness, in rare severe cases

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.

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
Is the bluish color harmless in my case, or does anything need monitoring?
Could genetic testing for the HBB gene confirm the diagnosis?
What symptoms should make me contact my care team?

Quick facts

InheritanceAutosomal Dominant
GenesHBB

It is caused by changes in the HBB gene. It is autosomal dominant, so one changed copy of the gene is enough to cause it.

GeneticBlood

Also known as: hereditary m hemoglobinopathy; hereditary methemoglobinemia due to globin chain mutation; hereditary methemoglobinuria; m hemoglobinopathy; methemoglobinemia, beta type

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hemoglobin M diseaseGARD ID 13007 · 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 M disease.

Explore the Hemoglobin M disease blog

Explore research for Hemoglobin M disease

Explore actively recruiting Hemoglobin M disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hemoglobin M 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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