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Living with BENTA disease

A very rare genetic immune condition with an enlarged spleen and frequent infections early in life.

Understanding BENTA disease

BENTA disease is a very rare genetic immune condition present from birth, named for B cell Expansion with NF-kappaB and T cell Anergy.

Main signs are an enlarged spleen and frequent ear, sinus, and lung infections early in life. Some people have molluscum contagiosum (a skin infection) or a long-lasting Epstein-Barr virus (EBV) infection. Blood tests show very high numbers of B cells, few memory B cells, low IgM, and weak responses to some vaccines. It can begin in infancy.

Signs & symptoms

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

  • Enlarged spleen (splenomegaly)
  • High number of B cells (a type of white blood cell)
  • Enlarged lymph tissue (lymphoid hyperplasia)
  • Repeated infections

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 CARD11 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 CARD11 gene testing confirm the diagnosis in me or my child?
How do we lower the chance of infections?
Which specialist (immunologist) should manage my care?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesCARD11

Changes in the CARD11 gene cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

Genetic

Also known as: b-cell expansion with nf-kb and t-cell anergy disease; b-cell expansion with nfkb and t-cell anergy; b-cell expansion with nuclear factor kappa light chain enhancer of activated b cells and t-cell anergy disease; benta (b-cell expansion with nuclear factor kappa light chain enhancer of activated b cells and t-cell anergy) disease

Patient organizations

Broader rare-disease groups

Source: NIH GARD · BENTA diseaseGARD ID 13339 · 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 BENTA disease.

Explore the BENTA disease blog

Explore research for BENTA disease

Explore actively recruiting BENTA disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for BENTA disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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