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Living with Hereditary spherocytosis type 5

An inherited blood condition in which red blood cells are destroyed faster than they are made, causing long-term anemia.

Understanding Hereditary spherocytosis type 5

Hereditary spherocytosis type 5 is a genetic blood condition that causes chronic nonimmune hemolytic anemia.

Red blood cells are destroyed faster than they can be made, and the immune system is not the cause. Some babies have yellowish skin and eyes soon after birth. In others, symptoms begin later in childhood after a viral infection causes a rapid drop in red blood cells. It can also cause an enlarged spleen and gallstones.

Signs & symptoms

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

  • Anemia from red blood cell breakdown
  • Yellowing of skin and eyes (jaundice)
  • Enlarged spleen
  • More young red blood cells (reticulocytosis)
  • Gallstones

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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
What infections or illnesses can trigger a drop in red blood cells?
How often should blood counts and the spleen be checked?
Could genetic testing for the EPB42 gene confirm the diagnosis?

Quick facts

InheritanceAutosomal Recessive

GARD says it is caused by changes in the EPB42 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Also known as: epb42 hereditary spherocytosis; epb42-related hereditary spherocytosis; epb42-related spherocytosis; hereditary spherocytosis 5; hereditary spherocytosis caused by mutation in epb42; hs5

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hereditary spherocytosis type 5GARD ID 15578 · 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 spherocytosis type 5.

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