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Living with Combined immunodeficiency due to DOCK8 deficiency

A rare inherited immune condition with repeated skin, lung and other infections, eczema, allergies and high IgE.

Understanding Combined immunodeficiency due to DOCK8 deficiency

Combined immunodeficiency due to DOCK8 deficiency, or DOCK8 immunodeficiency syndrome, is an inherited disorder of the immune system.

People have severe, repeated infections from bacteria, viruses or fungi, including skin infections and pneumonia. Eczema, allergies and asthma are common, with very high IgE and eosinophils in the blood. Some have nerve or stroke-related problems, and there is a higher risk of blood or skin cancers.

Signs & symptoms

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

  • Repeated skin infections
  • Repeated lung and sinus infections
  • Eczema (atopic dermatitis)
  • Asthma
  • Warts
  • Open skin sores

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 DOCK8 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 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
Should we have genetic testing for the DOCK8 gene?
How can we lower the chance of infections?
What cancer screening, if any, should I have?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesDOCK8

Changes in the DOCK8 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

Genetic

Also known as: cid due to dock8 deficiency; combined immunodeficiency due to dedicator of cytokinesis 8 deficiency; combined immunodeficiency due to dedicator of cytokinesis 8 protein deficiency; dedicator of cytokinesis 8 deficiency; dock8 deficiency; dock8 immunodeficiency syndrome

Patient organizations

Source: NIH GARD · Combined immunodeficiency due to DOCK8 deficiencyGARD ID 2816 · 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 DOCK8 deficiency.

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