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Living with Cryptosporidiosis-chronic cholangitis-liver disease syndrome

A rare genetic immune condition with repeated infections and, in some people, bile duct and liver disease.

Understanding Cryptosporidiosis-chronic cholangitis-liver disease syndrome

Cryptosporidiosis-chronic cholangitis-liver disease syndrome is a rare genetic immune condition caused by IL21R deficiency.

People have variable defects in B cells, T cells, and natural killer cells, which are types of immune cells. This leads to repeated lung and gut infections. Some people have severe, long-lasting, progressive inflammation of the bile ducts (cholangitis) and scarring of the liver (cirrhosis), linked to infection with a parasite called Cryptosporidium. It starts in newborns and infants.

Signs & symptoms

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

  • Repeated infections
  • Chronic diarrhea
  • Bile duct inflammation (cholangitis)
  • Liver inflammation from Cryptosporidium infection
  • Repeated pneumonia and breathing infections
  • Widened airways in the lungs (bronchiectasis)

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 IL21R 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
Would IL21R gene testing help our family?
How can we prevent and treat infections?
How should the liver and bile ducts be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesIL21R

It is caused by changes in the IL21R gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: combined immunodeficiency due to il21r deficiency; il21r immunodeficiency; immunodeficiency type 56

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Cryptosporidiosis-chronic cholangitis-liver disease syndromeGARD ID 17550 · 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 Cryptosporidiosis-chronic cholangitis-liver disease syndrome.

Explore the Cryptosporidiosis-chronic cholangitis-liver disease syndrome blog

Explore research for Cryptosporidiosis-chronic cholangitis-liver disease syndrome

Explore actively recruiting Cryptosporidiosis-chronic cholangitis-liver disease syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cryptosporidiosis-chronic cholangitis-liver disease syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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