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Living with Combined immunodeficiency due to ZAP70 deficiency

A rare inherited immune condition with serious, repeated infections, diarrhea and slow growth, usually found in infancy.

Understanding Combined immunodeficiency due to ZAP70 deficiency

Combined immunodeficiency due to ZAP70 deficiency, also called ZAP70-related SCID, is an inherited disorder that damages the immune system.

Children have very little protection from bacteria, viruses and fungi, so infections are repeated and persistent. Infants typically have pneumonia, chronic diarrhea, widespread skin rashes and slow growth. Most are diagnosed in the first 6 months. At least one person was diagnosed later in childhood with milder symptoms.

Signs & symptoms

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

  • Repeated bacterial and viral infections
  • Pneumonia
  • Chronic diarrhea
  • Mouth yeast infection (oral thrush)
  • Slow weight gain (failure to thrive)
  • Missing or low CD8 T cells

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 ZAP70 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 ZAP70 gene?
Which treatments can restore immune function?
How can we protect my child from infections?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesZAP70

Changes in the ZAP70 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

Genetic

Also known as: combined immunodeficiency due to zap70 (zeta-chain associated protein kinase 70) deficiency; combined immunodeficiency due to zeta-chain associated protein kinase 70 deficiency; imd48; immunodeficiency 48; zeta-associated-protein 70 deficiency

Patient organizations

Source: NIH GARD · Combined immunodeficiency due to ZAP70 deficiencyGARD ID 387 · 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 ZAP70 deficiency.

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