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Living with Infantile-onset pulmonary alveolar proteinosis-hypogammaglobulinemia

A rare genetic lung disease starting in infancy with repeated infections, low antibodies, and breathing trouble.

Understanding Infantile-onset pulmonary alveolar proteinosis-hypogammaglobulinemia

Infantile-onset pulmonary alveolar proteinosis-hypogammaglobulinemia is a rare genetic lung disease with fluid-like material building up in the lungs and low antibody levels.

Babies have normal breathing at birth, then develop repeated infections, mainly viral, and worsening breathing trouble. Other reported features are a high white blood cell count and an enlarged spleen.

Signs & symptoms

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

  • Repeated respiratory infections
  • Breathing trouble (respiratory insufficiency)
  • Buildup of fatty material in the lung air sacs
  • Enlarged spleen
  • High white blood cell count

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, genetic specialists and lung and breathing specialists.

  3. Consider genetic testing

    Changes in OAS1 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); Lung and breathing specialists (pulmonologists)
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 OAS1 gene confirm the diagnosis?
How can we lower the chance of infections?
How will lung function and antibody levels be monitored?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesOAS1

Changes in the OAS1 gene cause this condition. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene can be enough.

GeneticRespiratory

Also known as: 2'-5'-oligoadenylate synthetase 1-related infantile-onset pulmonary alveolar proteinosis, hypogammaglobulinemia; infantile-onset pulmonary alveolar proteinosis, hypogammaglobulinemia; oas1 deficiency; oas1-related infantile-onset pulmonary alveolar proteinosis-hypogammaglobulinemia; oas1-related infantile-onset pulmonary alveolar proteinosis, hypogammaglobulinemia

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Infantile-onset pulmonary alveolar proteinosis-hypogammaglobulinemiaGARD ID 22313 · 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 Infantile-onset pulmonary alveolar proteinosis-hypogammaglobulinemia.

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