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Living with Immunodeficiency 23

An inherited condition that mainly affects the immune system, causing repeated infections and sometimes other body changes.

Understanding Immunodeficiency 23

Immunodeficiency 23, also called PGM3-congenital disorder of glycosylation (PGM3-CDG), is an inherited condition that mainly affects the immune system.

Most people have impaired immune function and often have repeated infections in the lungs, ears, skin, or digestive tract. Many also have allergies, asthma, or eczema. Some have intellectual disability, delayed development, low muscle tone, or bone differences. It begins from birth to childhood.

Signs & symptoms

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

  • Repeated infections
  • Eczema and atopic dermatitis
  • Low white blood cell counts
  • Long-lasting middle ear infections
  • Poor balance and coordination (ataxia)
  • Poor weight gain (failure to thrive)

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, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PGM3 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

    CDG CARE and Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: CDG CARE, 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 CDG CARE 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 for the PGM3 gene confirm the diagnosis?
How do we prevent and treat repeated infections?
Which specialists should follow my child's immune system and development?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesPGM3

Changes in the PGM3 gene cause this condition. It is inherited in an autosomal recessive pattern, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: cid due to pgm3 deficiency; combined immunodeficiency due to pgm3 (phosphoglucomutase 3) deficiency; combined immunodeficiency due to pgm3 deficiency; combined inflammatory and immunologic defect; imd23; immunodeficiency type 23

Patient organizations

Source: NIH GARD · Immunodeficiency 23GARD ID 4331 · 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 Immunodeficiency 23.

Explore the Immunodeficiency 23 blog

Explore research for Immunodeficiency 23

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HealthSpark

Find actively recruiting studies for Immunodeficiency 23 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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