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Living with X-linked sideroblastic anemia with ataxia

A rare inherited condition, mostly in males, with mild anemia and balance and coordination problems that start early in life.

Understanding X-linked sideroblastic anemia with ataxia

X-linked sideroblastic anemia with ataxia is a rare condition that combines a blood disorder with problems of balance and coordination (ataxia).

The anemia is usually mild. Red blood cells are small and pale, and iron builds up in them. Balance and coordination problems appear early in life and can make it hard to sit, stand and walk without help. Some people also have shaking, mild speech difficulty or unusual eye movements. It mainly occurs in males.

Signs & symptoms

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

  • Ataxia (poor balance and coordination)
  • Anemia with small, pale red blood cells
  • Delayed walking and motor skills
  • Delayed speech and language development
  • Slurred or hard-to-articulate speech (dysarthria)
  • Fast, rhythmic eye movements (nystagmus)

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 and genetic specialists.

  3. Consider genetic testing

    Changes in ABCB7 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

    National Ataxia Foundation, United Mitochondrial Disease Foundation and MitoAction 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)
Expert care
Expert lists: National Ataxia Foundation, 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 National Ataxia Foundation 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
Could genetic testing of the ABCB7 gene confirm the diagnosis?
What therapies can help with balance, walking and speech?
How often should anemia and iron levels be checked?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceX-Linked, Mitochondrial
GenesABCB7

Changes in the ABCB7 gene cause this condition. GARD lists X-linked and mitochondrial inheritance.

GeneticNeurologicalBloodInherited MetabolicMitochondrial

Also known as: anaemia sideroblastic and spinocerebellar ataxia; anemia sideroblastic and spinocerebellar ataxia; anemia, sideroblastic, with ataxia, x-linked recessive; asat; pagon-bird-detter syndrome; scax6

Patient organizations

Source: NIH GARD · X-linked sideroblastic anemia with ataxiaGARD ID 668 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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