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Living with Deficiency of adenosine deaminase 2

A genetic condition that causes unprovoked inflammation in the blood vessels and other tissues.

Understanding Deficiency of adenosine deaminase 2

Deficiency of adenosine deaminase 2 (ADA2 deficiency) is a genetic condition that causes abnormal inflammation in various tissues, especially blood vessels.

Inflammation of blood vessels is called vasculitis. The skin, digestive system, liver, kidneys, and nervous system can also be affected. Symptoms can start anywhere from early childhood to adulthood, and severity varies even within a family.

Signs & symptoms

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

  • Lacy, mottled skin pattern (cutis marmorata)
  • Weakened immune system (immunodeficiency)
  • Enlarged liver and spleen
  • Low white blood cell counts
  • Eczema
  • Trouble finding words (aphasia)

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 autoimmune and inflammatory disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ADA2 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

    Vasculitis Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Genetic specialists (geneticists)
Expert care
Expert lists: Vasculitis 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 Vasculitis 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
Can genetic testing of the ADA2 gene confirm the diagnosis?
Which organs should be watched for inflammation?
Which specialists should be on my care team?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesADA2

Changes in the ADA2 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: ada2 deficiency; adenosine deaminase 2 deficiency; childhood-onset polyarteritis nodosa; dada2; polyarteritis nodosa, childhood-onset; polyarteritis nodosa, childhoood-onset

Patient organizations

Source: NIH GARD · Deficiency of adenosine deaminase 2GARD ID 12383 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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