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Living with Idiopathic CD4 lymphocytopenia

A rare immune condition with low levels of CD4+ T cells that makes infections more likely.

Understanding Idiopathic CD4 lymphocytopenia

Idiopathic CD4 lymphocytopenia (ICL) is a rare immune system disorder with low levels of CD4+ T cells, a type of white blood cell.

The low levels can't be explained by other causes, including HIV. CD4+ T cells help fight bacteria and viruses and help other immune cells work together, so the body is more prone to infection. Some people have no symptoms.

Signs & symptoms

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

  • Low T cell and CD4+ T cell counts
  • Repeated colds and sinus infections
  • Repeated pneumonia
  • Repeated middle ear infections
  • Repeated shingles
  • Nasal polyps

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 UNC119 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
Could genetic testing, including UNC119, apply to me?
How often should my immune cell counts be checked?
Which infections or other signs should I watch for?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesUNC119

A few people carry specific genetic changes, such as in the UNC119 gene, and it may be inherited in an autosomal dominant pattern. For most people, the underlying cause is not known.

Genetic

Also known as: idiopathic cd4 lymphopenia; immunodeficiency 13; immunodeficiency type 13

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Idiopathic CD4 lymphocytopeniaGARD ID 12375 · 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 Idiopathic CD4 lymphocytopenia.

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