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Living with Microcytic anemia with liver iron overload

A rare inherited condition where red blood cells cannot get enough iron, causing anemia and iron build-up in the liver.

Understanding Microcytic anemia with liver iron overload

Microcytic anemia with liver iron overload is a rare inherited condition that affects how iron moves in the body.

Red blood cells cannot reach the iron in the blood, so the body makes fewer of them. The ones it makes are small (microcytic) and pale. Anemia can leave people feeling tired and weak. Iron that is not used builds up in the liver and can eventually lead to liver problems. Signs are seen in the newborn period or infancy.

Signs & symptoms

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

  • Low red blood cell or hemoglobin level (anemia)
  • Small red blood cells
  • Pale red blood cells (hypochromia)
  • Extra growth of red blood cell-making tissue (erythroid hyperplasia)
  • Feeling tired and weak

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 SLC11A2 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
Can genetic testing for the SLC11A2 gene confirm this diagnosis?
How often should iron and liver health be checked?
Which specialists, such as a blood doctor, should be involved?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC11A2

This condition is caused by changes in the SLC11A2 gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticBloodInherited Metabolic

Also known as: anemia, hypochromic microcytic, with iron overload 1; anemia, hypochromic microcytic, with iron overload type 1

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Microcytic anemia with liver iron overloadGARD ID 12360 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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