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Living with Hemolytic anemia due to erythrocyte adenosine deaminase overproduction

A rare inherited blood condition with mild, long-term anemia and an enlarged spleen.

Understanding Hemolytic anemia due to erythrocyte adenosine deaminase overproduction

Hemolytic anemia due to erythrocyte adenosine deaminase overproduction is a rare inherited blood condition with mild anemia from red blood cells breaking down early.

Red blood cells have too much of an enzyme called adenosine deaminase, which leads to early breakdown. People have mild, long-term anemia, more young red blood cells, an enlarged spleen, and mildly raised bilirubin. GARD says other cells and tissues are not affected.

Signs & symptoms

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

  • Anemia from red blood cell breakdown
  • More young red blood cells (reticulocytosis)
  • Mouth-shaped red blood cells (stomatocytosis)
  • Enlarged spleen
  • Slightly raised bilirubin

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 GATA1 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
How often should my blood counts be checked?
Could genetic testing for the GATA1 gene help my relatives?
Should my spleen be monitored?

Quick facts

InheritanceAutosomal Dominant
GenesGATA1

It is caused by changes in the GATA1 gene. It is autosomal dominant, so one changed copy of the gene is enough to cause it.

GeneticBloodInherited Metabolic

Also known as: adenosine deaminase, elevated, hemolytic anaemia due to; adenosine deaminase, elevated, hemolytic anemia due to; anemia, congenital, nonspherocytic hemolytic, 9; cnsha9; erythrocyte ada, elevated, hemolytic anemia due to

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hemolytic anemia due to erythrocyte adenosine deaminase overproductionGARD ID 19669 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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