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Living with Hyper-IgM syndrome type 1

An immune condition, almost only in males, in which the body has low levels of key antibodies and gets frequent infections.

Understanding Hyper-IgM syndrome type 1

Hyper-IgM syndrome type 1, or X-linked hyper IgM syndrome, is an immune system condition that occurs almost only in males.

People have abnormal levels of antibodies. Some have high or normal IgM, but low IgG, IgA, and IgE, which makes it hard to fight infections. Frequent infections start in infancy and early childhood, such as pneumonia, sinus infections, and ear infections. Chronic diarrhea and slow weight gain can occur. Some people get autoimmune disorders, liver disease, or low neutrophils. Severity varies, even within a family.

Signs & symptoms

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

  • Repeated chest infections
  • Pneumocystis pneumonia
  • Diarrhea
  • Faltering weight gain
  • Low neutrophil count
  • Mouth ulcers

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 CD40LG 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

    Hyper IgM Foundation and 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: Hyper IgM Foundation, 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 Hyper IgM 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
Which treatments can lower infection risk?
How is liver health monitored?
Should family members be tested for CD40LG changes?

Quick facts

InheritanceX-Linked
GenesCD40LG

Changes in the CD40LG gene cause this condition. It is X-linked, meaning the gene is on the X chromosome.

Genetic

Also known as: higm1; higmx-1; hyper igm syndromes; hyper-igm immunodeficiency syndrome, type 1; hyper-igm syndrome due to cd40 ligand deficiency; hyper-igm syndrome due to cd40l deficiency

Patient organizations

Source: NIH GARD · Hyper-IgM syndrome type 1GARD ID 73 · 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 Hyper-IgM syndrome type 1.

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Explore research for Hyper-IgM syndrome type 1

Explore actively recruiting Hyper-IgM syndrome type 1 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hyper-IgM syndrome type 1 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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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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