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Living with Hydrops-lactic acidosis-sideroblastic anemia-multisystemic failure syndrome

A rare mitochondrial (energy-making) condition with problems starting before birth and affecting many organs.

Understanding Hydrops-lactic acidosis-sideroblastic anemia-multisystemic failure syndrome

Hydrops-lactic acidosis-sideroblastic anemia-multisystemic failure syndrome is a rare mitochondrial disease that affects many body systems.

Problems begin before birth, including low amniotic fluid, slow growth, fluid buildup (hydrops), and anemia. After birth, babies can have a buildup of lactic acid, lung and heart problems, liver and kidney problems, seizures, and low platelets. Some less severely affected people have hearing loss and developmental delay. It is seen in newborns.

Signs & symptoms

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

  • Fluid buildup before birth (hydrops)
  • Anemia
  • Low amniotic fluid
  • Reduced liver function
  • Heart defects
  • Seizures

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 LARS2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
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 CureARS and other patient organizations
  • 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 organ systems need regular checks?
Would genetic testing for LARS2 help our family?
Which specialists should be involved in care?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial
GenesLARS2

Changes in the LARS2 gene cause this condition. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: hlasa; hydrops, lactic acidosis, and sideroblastic anaemia; hydrops, lactic acidosis, and sideroblastic anemia; hydrops, lactic acidosis, sideroblastic anemia, multisystemic failure syndrome

Patient organizations

Source: NIH GARD · Hydrops-lactic acidosis-sideroblastic anemia-multisystemic failure syndromeGARD ID 17966 · 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 Hydrops-lactic acidosis-sideroblastic anemia-multisystemic failure syndrome.

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