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Living with Combined immunodeficiency due to CTPS1 deficiency

A rare inherited immune condition that causes severe, repeated viral infections and sinus and lung infections.

Understanding Combined immunodeficiency due to CTPS1 deficiency

Combined immunodeficiency due to CTPS1 deficiency is a rare inherited condition in which immune cells do not multiply well when needed.

T and B cells have trouble growing in number when activated. This leads to early, severe or repeated viral infections, including Epstein-Barr virus and varicella zoster (chickenpox) virus, and repeated sinus and lung infections. It starts between birth and childhood.

Signs & symptoms

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

  • Repeated viral infections
  • Severe chickenpox (varicella zoster) infection
  • Respiratory tract infections
  • Fewer memory B cells
  • Unusual immune cell ratio (inverted CD4:CD8)

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, cancer specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CTPS1 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); Cancer specialists (oncologists); 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
Should we have genetic testing for the CTPS1 gene?
How can we lower the chance of viral infections?
Which immune specialist should follow my care?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesCTPS1

Changes in the CTPS1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

Genetic

Also known as: ctps1-related combined immunodeficiency; immunodeficiency 24; immunodeficiency type 24; scid due to ctps1 deficiency; severe combined immunodeficiency due to ctps1 deficiency

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Combined immunodeficiency due to CTPS1 deficiencyGARD ID 17696 · 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 Combined immunodeficiency due to CTPS1 deficiency.

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