Hereditary persistence of fetal…

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Hereditary persistence of fetal hemoglobin-sickle cell disease syndrome

ORPHA:251380Disease

Also called HPFH-sickle cell disease syndrome

What it is

A rare, genetic, hemoglobinopathy characterized by generally mild clinical phenotype, high fetal hemoglobin levels and mild microcytosis and hypochromia. In some cases, acute sickle cell disease manifestations were reported, namely acute chest syndrome and acute pain crisis. The genotype is characterized by the combination of an HbS and HbF allele; symptoms depend on the degree of HbF:HbS expressivity with patients with more than 35% pancellular HbF expression being asymptomatic. Symptomatic patients have heterocellular expression of HbF.

Key facts

Prevalence
1-5 / 10 000 (at birth, United States)
Age of onset
All ages
Inheritance
Autosomal recessive
Classified as
Disease

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Signs and symptoms

These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.

Genes

HBBDisease-causing germline mutation(s)
HBG1Disease-causing germline mutation(s)
HBG2Disease-causing germline mutation(s)
KLF1Disease-causing germline mutation(s)
BCL11ACandidate gene tested

ICD-10 codes

D57.2filed under a broader ICD-10 category — shared with 8 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

MONDO 0016672OMIM 141749OMIM 142335OMIM 142470OMIM 305435OMIM 613566UMLS C5190890

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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