X-linked combined immunodeficiency

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X-linked combined immunodeficiency due to SASH3 deficiency

ORPHA:653751Disease

Also called X-linked CID due to SASH3 deficiency

What it is

A rare non-severe combined immunodeficiency characterized by recurrent sinopulmonary/pulmonary, skin/soft tissue infections, warts and sepsis. Additional clinical features may include meningitis, dental abscesses, septic arthritis, progressive multifocal leukoencephalopathy, episodic bradycardia, bronchiectasis, granulomatous nodules, hypothyroidism, hypophosphatemia, enteropathy, nodular regenerative hyperplasia/hepatomegaly, liver granulomas, granulomatous skin lesions and aphthous ulcers. Infections could be bacterial, viral or fungal. Affected individuals present with refractory autoimmune cytopenias, hemolytic anemia, thrombocytopenia, lymphopenia, and decreased natural killer cells.

Key facts

Prevalence
<1 / 1 000 000
Age of onset
Adolescent, Adult, Childhood
Inheritance
X-linked 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.

Gene

SASH3Disease-causing germline mutation(s) (loss of function)

ICD-10 codes

D81.8filed under a broader ICD-10 category — shared with 49 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 0024781MONDO 24781OMIM 301082UMLS C5925116

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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