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Living with HNSHA due to aldolase A deficiency

An extremely rare inherited condition causing red blood cell breakdown and sometimes muscle problems or learning challenges.

Understanding HNSHA due to aldolase A deficiency

HNSHA due to aldolase A deficiency is an extremely rare inherited condition, a type of glycogen storage disease.

It causes hemolytic anemia, where red blood cells break down early. Some people also have muscle disease (myopathy) or intellectual disability. Muscle breakdown (rhabdomyolysis) can be triggered by fever or exercise. It may begin in the newborn period.

Signs & symptoms

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

  • Hemolytic anemia
  • Muscle weakness
  • Muscle aches (myalgia)
  • Muscle breakdown with exercise or fever
  • Fever
  • Skeletal muscle disease (myopathy)

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 ALDOA 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
What triggers should we try to avoid, such as fever?
How is anemia monitored and treated?
Would genetic testing for ALDOA help our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesALDOA

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

GeneticBloodInherited Metabolic

Also known as: aldolase a deficiency; glycogen storage disease due to aldolase a deficiency; glycogen storage disease type 12; glycogen storage disease type xii; glycogen storage disease xii; glycogenosis due to aldolase a deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · HNSHA due to aldolase A deficiencyGARD ID 600 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with HNSHA due to aldolase A deficiency.

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