When you’re living with a rare hematological disease, the journey to a diagnosis can feel exhausting.
Misdiagnoses are common because symptoms of these conditions often mimic more familiar illnesses. Some people spend months or years visiting many doctors, undergoing countless tests, and receiving conflicting answers. This diagnostic uncertainty often leaves patients feeling frustrated, anxious, and without the treatments they need.
The experts at UPMC understand the heavy emotional toll diagnostic uncertainty can cause. We specialize in finding the right diagnoses and treatments for those with complex symptoms who are still searching for answers.
What Are UPMC's Rare Hematological Disease Services?
We are one of the country’s highest-volume programs for people with:
- Bleeding and clotting disorders.
- Hemophilia.
- Sickle cell disease.
- Other noncancerous blood conditions.
Our rare hematological disease services are nationally known. We offer expert evaluation and coordinated care for people with uncommon or difficult-to-diagnose blood conditions, including disorders of:
- Blood clotting.
- Bone marrow/platelets.
- Plasma cells/proteins.
- Red blood cells.
- White blood cells/immune system.
- Other rare hematological conditions.
What rare hematological disease services does UPMC specialize in?
We specialize in diagnosing and treating rare hematological diseases. These are blood-related diseases that affect fewer than 200,000 people in the United States.
People often come to our program with the results of tests other physicians have run. But they may not have a comprehensive interpretation of the results in the larger context of rare blood diseases.
There are more than 10,000 rare blood diseases. Many have symptoms that overlap or mimic other diseases, both serious and benign. This can make getting a definitive diagnosis difficult.
Diagnostic uncertainty not only delays care but also takes a heavy emotional toll. It can make the search for answers as challenging as the diseases themselves.
What rare hematological disease services does UPMC offer?
Our multidisciplinary team evaluates every case to provide prompt diagnosis, expert advice, and continued support while working closely with referring doctors. Our goal is to ensure every patient receives:
- Expert care.
- Close coordination with their local providers.
- Long-term support for managing complex blood disorders.
We also offer comprehensive, lifelong care for those with inherited bleeding disorders. We are supported by a full multidisciplinary team, in partnership with the Hemophilia Center of Western Pennsylvania.
What Conditions Do We Treat?
Among the rare hematological diseases our experts diagnose and treat are:
- Castleman disease (CD).
- Chronic granulomatous disease (CGD).
- Cold agglutinin disease (CAD).
- Eosinophilia.
- Erdheim-Chester disease (ECD).
- Hairy cell leukemia (HCL).
- Hereditary hemorrhagic telangiectasia (HHT).
- Iron overload syndromes.
- Langerhans cell histiocytosis (LCH).
- Large granular lymphocytic (LGL) leukemia.
- Mast cell diseases.
- Porphyria.
- Rare lipid storage disorders (LSDs).
- Rare thrombotic disorders.
- Rosai-Dorfman disease (RDD).
- Systemic mastocytosis (SM).
Who can benefit from UPMC's rare hematological disease services?
If you’ve experienced complex hematological disorder symptoms and seen other physicians without a definitive diagnosis, you may benefit from our program.
Symptoms of hematological disorders can differ, but common signs include:
- Easy bruising, prolonged bleeding, or frequent nosebleeds (due to clotting problems).
- Frequent infections, fevers, or night sweats (from low white blood cell counts).
- Persistent fatigue, brain fog, weakness, pale skin, and shortness of breath. These are often linked to anemia.
- Swollen lymph nodes, bone pain, headaches, or an enlarged spleen. These reflect issues with red blood cells, white blood cells, platelets, or clotting factors.
Diagnosis often begins with a complete blood count (CBC). It may also involve imaging or biopsies.
What Can I Expect?
When you visit UPMC, you can expect to meet with a rare disease specialist and a team of caregivers with experience in complex blood diagnoses.
Members of your team may include a rare disease fellow, a nurse practitioner, and other specialists, as needed. They will take the time to review your test results. They will discuss them with you during a personalized appointment based on your individual needs. The team may order more tests to aid in diagnosis.
Once your team makes a diagnosis, they will explain it to you. This sometimes may mean disproving a diagnosis you may have expected.
Getting a different diagnosis than expected can stir up strong emotions. If this happens, your specialist can refer you to behavioral health supports. They can help you deal with a prior misdiagnosis or the mental health distress from a new diagnosis.
If you do have a rare hematological disease, the team can serve as a central point of care for treating your blood disorder.
What Services Do You Offer?
We offer:
- Acute care and diagnosis for patients with blood disorder symptoms.
- A dedicated rare hematological disease program with internationally known experts for the diagnosis and treatment of rare blood disorders.
- A dedicated sickle cell disease clinic with nationally known experts for the diagnosis and treatment of sickle cell and related anemias.
- A dedicated hemophilia clinic with nationally known experts.
- Longitudinal (long-term) care for people with classical benign blood disorders.
- Consults and e-consults for internal medicine, ob-gyn, and surgery departments to manage patients with blood disorders.
Why Choose UPMC for Rare Hematological Disease Services?
Our team is nationally recognized for its strengths in transfusion medicine, platelet disorders, and the diagnosis and management of rare hematological diseases.
- Our hematology experts see patients in our clinic. They also consult with other divisions on patients with blood disorders.
- We educate other clinicians on the issues, management, and treatment of classical hematologic disorders.
- Our physician-scientists have dedicated their lives to research on ways to improve the lives and medical outcomes of people with nonmalignant blood diseases.
By UPMC Editorial Staff. Last reviewed on 2026-05-20.