Immunodeficiency by defective expression…

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Immunodeficiency by defective expression of MHC class I

ORPHA:34592Disease

Also called Bare lymphocyte syndrome type 1 · MHC class I deficiency

What it is

A rare autosomal recessive primary immunodeficiency characterized by severe reduction in the cell surface expression of HLA class I molecules, typically resulting in childhood-onset of chronic bacterial infections of the respiratory tract evolving to widespread bronchiectasis and respiratory insufficiency. Sterile necrotizing granulomatous skin lesions mainly involving the extremities and the mid-face may be observed in some patients. Severe viral infections do not occur as part of the condition. Atypical variants without respiratory or cutaneous manifestations, as well as asymptomatic individuals have been reported.

Key facts

Prevalence
<1 / 1 000 000
Age of onset
Childhood
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.

Genes

B2MDisease-causing germline mutation(s) (loss of function)
TAP1Disease-causing germline mutation(s)
TAP2Disease-causing germline mutation(s)
TAPBPDisease-causing germline mutation(s)

ICD-10 codes

D81.6ICD-10 names this disease exactly

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

GARD 8427MESH C565759MONDO 0011476OMIM 241600OMIM 604571UMLS C1858266

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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