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Living with Hereditary intrinsic factor deficiency

A rare inherited condition that causes a type of anemia and can affect nerves, starting in childhood.

Understanding Hereditary intrinsic factor deficiency

Hereditary intrinsic factor deficiency is a rare condition that causes pernicious anemia and nervous system problems.

Symptoms can include slow weight gain (failure to thrive) and anemia symptoms such as tiredness and pale skin. Nerve damage can lead to confusion, depression, and numbness or tingling in the hands and feet. It starts in childhood.

Signs & symptoms

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

  • Anemia with large red blood cells
  • Lack of energy and strength
  • Repeated infections
  • Learning difficulties
  • Memory and thinking changes (dementia)
  • Slow growth

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 CBLIF 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
Could genetic testing for the GIF gene confirm the diagnosis?
How should nerve problems be watched for?
Which specialists should be involved in my child's care?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesCBLIF

It is caused by changes in the GIF gene (listed as CBLIF). It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticBloodInherited Metabolic

Also known as: congenital deficiency of intrinsic factor; congenital intrinsic factor deficiency; congenital pernicious anaemia; congenital pernicious anemia; gastric intrinsic factor deficiency; hereditary juvenile megaloblastic anaemia due to intrinsic factor deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hereditary intrinsic factor deficiencyGARD ID 3024 · 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 intrinsic factor deficiency.

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Explore actively recruiting Hereditary intrinsic factor deficiency studies with HealthSpark.

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  • Recruiting studies from ClinicalTrials.gov
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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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