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Living with Activated PI3K-delta syndrome

An immune condition that causes repeated infections, swollen lymph nodes, and sometimes autoimmune problems.

Understanding Activated PI3K-delta syndrome

Activated PI3K-delta syndrome (APDS) is a disorder that impairs the immune system.

People often have low numbers of white blood cells, especially B and T cells. Severity varies widely, from many severe infections to mild or no symptoms. Repeated infections in the lungs, sinuses, and ears often begin in childhood. Over time, lung infections can lead to bronchiectasis, damage to the airways. White blood cells can clump, causing swollen lymph nodes or an enlarged spleen. APDS raises the risk of lymphoma, and some people develop autoimmunity. GARD lists onset as a variety of ages.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Repeated respiratory infections
  • Chronic sinusitis
  • Repeated ear infections
  • Bronchiectasis (damaged airways)
  • Swollen lymph nodes
  • Enlarged spleen or liver

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include allergy and immune system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Jeffrey Modell Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of APDS do I have, and which gene is involved?
How can infections and lung damage be prevented or monitored?
How often should I be checked for lymphoma or autoimmune problems?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, so one changed copy of the gene is enough. There are two types with different genetic causes.

Genetic

Also known as: apds; senescent t-cells-lymphadenopathy-immunodeficiency syndrome due to p110delta-activating mutation

Patient organizations

Source: NIH GARD · Activated PI3K-delta syndromeGARD ID 11983 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Activated PI3K-delta syndrome.

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