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Living with Centromeric instability of chromosomes 1,9 and 16 and immunodeficiency

A rare genetic condition with a weak immune system, changes in certain chromosomes, and facial differences.

Understanding Centromeric instability of chromosomes 1,9 and 16 and immunodeficiency

Centromeric instability of chromosomes 1, 9 and 16 and immunodeficiency, also called ICF syndrome, is a rare genetic condition with low immune function, chromosome changes, and facial differences.

People have very low levels of antibodies in the blood, and a lack of memory B cells, although B and T cell counts are normal. The chromosome changes are found near the centromeres of chromosomes 1 and 16 and sometimes 9. It usually starts in childhood.

Signs & symptoms

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

  • Weak immune function (immunodeficiency)
  • Low lymphocyte (white blood cell) count
  • Delayed development overall
  • Large head (macrocephaly)
  • Flat nasal bridge
  • Too much fluid in the brain (communicating hydrocephalus)

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, brain and nervous 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); Brain and nervous system specialists (neurologists); 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
How can infections be prevented or treated?
Can genetic testing confirm the type of ICF syndrome?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is inherited in an autosomal recessive way, so a child inherits a changed copy of a gene from each parent.

GeneticNeurological

Also known as: centromeric instability, immunodeficiency syndrome; icf syndrome; icf1; immune deficiency, variable, with centromeric instability of chromosomes 1, 9, and 16; immunodeficiency syndrome, variable; immunodeficiency-centromeric instability-facial anomalies

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Centromeric instability of chromosomes 1,9 and 16 and immunodeficiencyGARD ID 2945 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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