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Living with Platelet-type bleeding disorder 18

A rare inherited bleeding disorder that starts in infancy, with nosebleeds, large bruises and bleeding after dental work.

Understanding Platelet-type bleeding disorder 18

Platelet-type bleeding disorder 18, also called CalDAG-GEFI deficiency, is a rare bleeding disorder caused by platelets that do not work well.

Bleeding from the skin and mucous membranes starts in infancy, around 18 months of age. It can include long, severe nosebleeds, large bruises (hematomas) and bleeding after tooth removal. Very heavy periods and long-term low red blood cells (anemia) have also been reported.

Signs & symptoms

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

  • Nosebleeds
  • Easy bruising
  • Long bleeding after dental extraction
  • Heavy menstrual periods
  • Longer bleeding time

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 RASGRP2 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 National Bleeding Disorders Foundation
  • 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 genetic testing for RASGRP2, and should siblings be tested?
How should bleeding be managed during dental work or surgery?
Do I need to be checked for anemia?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesRASGRP2

Changes in the RASGRP2 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticBlood

Also known as: bdplt18; bleeding disorder due to calcium- and dag-regulated guanine exchange factor-1 deficiency; bleeding disorder due to caldag-gefi deficiency; inherited bleeding disorder, platelet-type caused by mutation in rasgrp2; rasgrp2 inherited bleeding disorder, platelet-type

Patient organizations

Source: NIH GARD · Platelet-type bleeding disorder 18GARD ID 17695 · 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 Platelet-type bleeding disorder 18.

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