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Living with Overhydrated hereditary stomatocytosis

An inherited blood condition in which red blood cells are fragile and break down too early, causing anemia.

Understanding Overhydrated hereditary stomatocytosis

Overhydrated hereditary stomatocytosis (OHSt) is an inherited red blood cell condition that causes hemolytic anemia.

In OHSt, the wall of the red blood cell lets certain charged particles (monovalent cations) pass through abnormally. The cells break down early, which causes hemolytic anemia (too few red blood cells). It is usually noticed in the newborn and infant period.

Signs & symptoms

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

  • Hemolytic anemia (red cells break down early)
  • Cup-shaped red blood cells (stomatocytosis)
  • Fragile red blood cells
  • More young red blood cells than usual (reticulocytosis)
  • Abnormal red cell size and hemoglobin levels

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 RHAG 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
How often should we check my blood counts for anemia?
Could the spleen or liver be affected, since an enlarged spleen is sometimes reported?
Should family members have genetic testing for the RHAG gene?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesRHAG

Changes in the RHAG gene cause this condition. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

GeneticBlood

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Overhydrated hereditary stomatocytosisGARD ID 4183 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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