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Living with Combined immunodeficiency due to partial RAG1 deficiency

A rare inherited immune condition with severe, ongoing CMV infection and autoimmune low blood counts in babies and children.

Understanding Combined immunodeficiency due to partial RAG1 deficiency

Combined immunodeficiency due to partial RAG1 deficiency is a rare inherited condition that affects T and B immune cells.

It leads to severe and lasting cytomegalovirus (CMV) infection and autoimmune cytopenia, where the body attacks its own blood cells. It can be diagnosed in babies and children and affects males and females.

Signs & symptoms

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

  • Severe, lasting CMV infection
  • Autoimmune anemia
  • Autoimmune low neutrophil count
  • Enlarged spleen
  • Lung inflammation (interstitial pneumonitis)
  • Low T and B cell counts

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 RAG1 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
Should we have genetic testing for the RAG1 gene?
How is the CMV infection being monitored?
Which immune specialist should lead our care?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesRAG1

It is caused by changes in the RAG1 gene on chromosome 11. It is autosomal recessive, so a child inherits a changed copy from each parent.

Genetic

Also known as: cid due to partial rag1 deficiency; cid with expansion of gamma delta t cells; combined immunodeficiency with expansion of gamma delta t cells

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Combined immunodeficiency due to partial RAG1 deficiencyGARD ID 13712 · 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 partial RAG1 deficiency.

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