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Living with Hepatic veno-occlusive disease-immunodeficiency syndrome

An inherited condition of the liver and immune system that starts in infancy with repeated infections.

Understanding Hepatic veno-occlusive disease-immunodeficiency syndrome

Hepatic veno-occlusive disease with immunodeficiency (VODI) is an inherited condition of the liver and the immune system.

Signs usually appear before 6 months of age. Small veins in the liver are blocked, which can lead to an enlarged liver and scarring. The immune system does not work normally, so children get repeated infections such as colds and pneumonia. Some have nervous system problems from blocked blood flow in the brain.

Signs & symptoms

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

  • Repeated respiratory infections
  • Repeated viral infections
  • Enlarged liver
  • Enlarged liver and spleen
  • Slow weight gain (failure to thrive)
  • Low T 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 allergy and immune system specialists, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SP110 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); Digestive system specialists (gastroenterologists); 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
  • 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
Which infections should we watch for, and when should we call?
Could genetic testing for the SP110 gene help our family?
Which specialists should manage the liver and immune system?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesSP110

It is caused by changes in the SP110 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinal

Also known as: hepatic veno-occlusive disease with immunodeficiency; vodi syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hepatic veno-occlusive disease-immunodeficiency syndromeGARD ID 10083 · 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 Hepatic veno-occlusive disease-immunodeficiency syndrome.

Explore the Hepatic veno-occlusive disease-immunodeficiency syndrome blog

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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