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Living with Histidinemia

An inherited condition with high histidine levels in the body that usually causes no health problems.

Understanding Histidinemia

Histidinemia is an inherited condition with high levels of histidine, an amino acid, in the blood, urine, and spinal fluid.

Histidine is a building block for many proteins. In most cases, histidinemia does not cause health problems, and most people don't know they have it. Rarely, people have intellectual or learning disabilities or behavior problems. A medical complication during or soon after birth might raise the chance of developmental problems.

Signs & symptoms

Most people have no symptoms. GARD lists these as less common:

  • Learning disability
  • Delayed development
  • Behavior differences
  • Being more active than typical
  • Differences in speech

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 genetic specialists.

  3. Consider genetic testing

    Changes in HAL 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
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
Does my child need any monitoring for development?
Is any treatment needed if there are no symptoms?
Would genetic testing for HAL help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesHAL

Changes in the HAL gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: deficiency of histidase; deficiency of histidinase; deficiency of histidine a-deaminase; deficiency of histidine ammonia-lyase; hal deficiency; high blood histidine level

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · HistidinemiaGARD ID 6661 · 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 Histidinemia.

Explore the Histidinemia blog

Explore research for Histidinemia

Explore actively recruiting Histidinemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Histidinemia 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 Histidinemia 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.

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HealthStoryfor Histidinemia

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

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