Skip to content
knowrare
HealthSignal
Your condition community

Living with Hereditary antithrombin deficiency

An inherited blood clotting condition that raises the chance of clots in the deep veins of the legs.

Understanding Hereditary antithrombin deficiency

Hereditary antithrombin deficiency is an inherited blood clotting disorder that raises the risk of abnormal blood clots.

Clots most often form in the deep veins of the legs (deep vein thrombosis) and can travel to the lungs (pulmonary embolism). About half of people with it will have at least one clot in their lifetime, usually after adolescence. Age, surgery, and immobility can raise the risk. Women have a higher clot risk in pregnancy and soon after delivery, and may have a higher risk of miscarriage or stillbirth.

Signs & symptoms

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

  • Blood clot in a deep vein (DVT)
  • Blood clot in the lungs (pulmonary embolism)
  • Repeated blood clots
  • Swollen, inflamed vein near the skin surface
  • Low antithrombin level

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 autoimmune and inflammatory disease specialists, blood and bone marrow specialists, bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SERPINC1 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
autoimmune and inflammatory disease specialists (rheumatologists); Blood and bone marrow specialists (hematologists); Bone and joint specialists (orthopedists or orthopedic surgeons); 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 National Blood Clot Alliance
  • 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
What raises my clot risk, such as surgery or long trips?
What should my care team know before a pregnancy?
Should my relatives be tested for the SERPINC1 gene change?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesSERPINC1

It is caused by changes in the SERPINC1 gene. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticBlood

Also known as: anti-thrombin iii deficiency; antithrombin 3 deficiency; antithrombin deficiency; antithrombin iii deficiency; at (antithrombin) deficiency; at iii deficiency

Patient organizations

Source: NIH GARD · Hereditary antithrombin deficiencyGARD ID 6148 · 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 Hereditary antithrombin deficiency.

Explore the Hereditary antithrombin deficiency blog

Explore research for Hereditary antithrombin deficiency

Explore actively recruiting Hereditary antithrombin deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hereditary antithrombin 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

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Hereditary antithrombin deficiency studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

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

Get Signals for Hereditary antithrombin deficiency

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Hereditary antithrombin deficiency

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Hereditary antithrombin deficiency experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.