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Living with McLeod neuroacanthocytosis syndrome

A nervous system condition, mostly in males, with involuntary movements and unusual red blood cells.

Understanding McLeod neuroacanthocytosis syndrome

McLeod neuroacanthocytosis syndrome is mainly a neurological disorder that occurs almost entirely in boys and men.

It affects movement. People have star-shaped red blood cells (acanthocytosis), jerking movements (chorea), muscle tensing (dystonia), and sometimes seizures. They may have trouble with thinking and mood, muscle weakness, and nerve problems in the arms and legs. Heart rhythm problems and weakened heart muscle are common. It starts in adulthood.

Signs & symptoms

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

  • Jerking movements (chorea)
  • Muscle tensing (dystonia)
  • Star-shaped red blood cells (acanthocytosis)
  • Seizures
  • Muscle weakness (myopathy)
  • Slurred speech (dysarthria)

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, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in XK 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

    Children's Cardiomyopathy Foundation and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Cardiomyopathy Foundation, Epilepsy Foundation
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 Neuroacanthocytosis Advocacy USA 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
Should we have XK genetic testing for our family?
How often should my heart be checked?
Which therapies can help with movement and mood?

Quick facts

Symptoms usually startAdult
InheritanceX-Linked
GenesXK

Changes in the XK gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticNeurologicalBlood

Also known as: blood group deletion syndrome; mclds; mcleod phenotype; mcleod syndrome; mcleod syndrome with or without chronic granulomatous disease; mls

Patient organizations

Source: NIH GARD · McLeod neuroacanthocytosis syndromeGARD ID 10731 · 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 McLeod neuroacanthocytosis syndrome.

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