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Living with Autosomal recessive primary immunodeficiency with defective spontaneous natural killer cell cytotoxicity

A rare inherited immune condition with repeated viral infections.

Understanding Autosomal recessive primary immunodeficiency with defective spontaneous natural killer cell cytotoxicity

This rare inherited immune condition causes repeated viral infections because some immune cells, called natural killer cells, do not work well.

People have repeated respiratory and skin infections caused by viruses such as Epstein-Barr virus, herpes simplex virus, and human papillomavirus. Other parts of the immune system tested normal. Onset ranges from birth to childhood.

Signs & symptoms

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

  • Repeated viral infections of the upper airways
  • Repeated ear infections
  • Repeated sinus infections
  • Repeated oral herpes
  • Severe chickenpox or shingles (varicella zoster)
  • Wheezing

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. Consider genetic testing

    Changes in FCGR3A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  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 Immune Deficiency Foundation
  • 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
Can genetic testing for the FCGR3A gene confirm the diagnosis?
Which immune specialist should follow this condition?
How can we lower the chance of infections?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesFCGR3A

It is caused by changes in the FCGR3A gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: autosomal recessive primary immunodeficiency with defective spontaneous nk cell cytotoxicity; cd16 deficiency; immunodeficiency 20; immunodeficiency type 20

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Autosomal recessive primary immunodeficiency with defective spontaneous natural killer cell cytotoxicityGARD ID 17732 · 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 Autosomal recessive primary immunodeficiency with defective spontaneous natural killer cell cytotoxicity.

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