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Start free with EleplanActivated PI3K-delta syndrome
ORPHA:397596Clinical group
Also called APDS · Activated p110-delta syndrome · PASLI · PI3K delta activating mutations causing senescent T cells, lymphadenopathy and immunodeficiency · Senescent T-cells-lymphadenopathy-immunodeficiency syndrome due to p110delta-activating mutation
What it is
A rare, genetic, primary immunodeficiency disease characterized by increased susceptibility to recurrent and/or severe bacterial and viral infections (in particular, sinopulmonary bacterial and herpesvirus infections), chronic benign lymphoproliferation (manifesting as lymphadenopathy, hepatosplenomegaly and focal nodular lymphoid hyperplasia), and/or autoimmune disease (including immune cytopenias, juvenile arthritis, glomerulonephritis and sclerosing cholangitis). Immunophenotypically, variable degrees of agammaglobulinemia with increased IgM levels, increased circulating transitional B cells, decreased naïve CD4 and CD8 T-cells with increased CD8 effector/memory T cells are observed.
Key facts
- Age of onset
- Adult, Childhood, Infancy
- Inheritance
- Autosomal dominant
- Classified as
- Clinical group
Signs and symptoms
Common30–79%
11Sometimes5–29%
11- Abnormal intestine morphology
- Arthritis
- Failure to thrive
- Hearing impairment
- Lymphoma
- Microcephaly
- Neurodevelopmental delay
- Recurrent tonsillitis
and 3 more in this range
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 reported in subtypes
Orphanet records these genes on 2 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
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
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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