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Living with Hereditary persistence of fetal hemoglobin-intellectual disability syndrome

A genetic condition present from birth with slow development, intellectual disability, and continued fetal hemoglobin.

Understanding Hereditary persistence of fetal hemoglobin-intellectual disability syndrome

Hereditary persistence of fetal hemoglobin-intellectual disability syndrome is a genetic condition present from birth with slower development of physical and mental skills.

People may have intellectual disability and fetal hemoglobin that stays in the body. The fetal hemoglobin itself causes no symptoms. Features can include a smaller head, downward-slanting eyes, crossed eyes, and differently shaped ears. Walking and coordination can be affected. Most people have it because of a new gene change (de novo).

Signs & symptoms

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

  • Delayed development
  • Intellectual disability
  • Small head (microcephaly)
  • Delayed walking
  • Crossed eyes (strabismus)
  • Sleep problems

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, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in BCL11A 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); Brain and nervous system specialists (neurologists); 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 Simons Searchlight
  • 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 early therapies might help development and coordination?
How likely is it that other family members have this gene change?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesBCL11A

It is caused by a change in the BCL11A gene. It is autosomal dominant, so one changed copy of the gene is enough. Most people have a new change that was not inherited.

GeneticNeurologicalBlood

Also known as: dias-logan syndrome

Patient organizations

  • Simons SearchlightHereditary persistence of fetal hemoglobin-intellectual disability syndrome · United States
Source: NIH GARD · Hereditary persistence of fetal hemoglobin-intellectual disability syndromeGARD ID 22458 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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