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Living with Immunodeficiency due to MASP-2 deficiency

A rare inherited immune condition with low MASP-2 levels; some people have infections or autoimmune disease and some have no symptoms.

Understanding Immunodeficiency due to MASP-2 deficiency

Immunodeficiency due to MASP-2 deficiency is a rare genetic immune disorder with low blood levels of MASP-2, a complement system protein.

Susceptibility to bacterial infections varies, including tuberculosis of the lungs, pneumococcal pneumonia, skin abscesses, and sepsis. Autoimmune disease may occur. In many cases there are no symptoms.

Signs & symptoms

Symptoms vary from person to person, and many people have none. GARD lists these:

  • Repeated pneumonia
  • Low complement levels in the blood
  • Lupus (systemic lupus erythematosus)
  • Ulcerative colitis

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 MASP2 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
Can genetic testing for the MASP2 gene confirm the diagnosis?
Do I need any treatment if I have no symptoms?
Which signs of infection or autoimmune disease should I watch for?

Quick facts

Symptoms usually startTeenager
InheritanceAutosomal Recessive
GenesMASP2

Changes in the MASP2 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.

Genetic

Also known as: lectin complement activation pathway, defect in, 2; masp2 deficiency

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Immunodeficiency due to MASP-2 deficiencyGARD ID 17512 · 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 due to MASP-2 deficiency.

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