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Living with Kostmann syndrome

A rare condition from birth with very low levels of infection-fighting white blood cells, leading to frequent bacterial infections.

Understanding Kostmann syndrome

Kostmann syndrome is a rare, severe congenital neutropenia, a lack of mature neutrophils (infection-fighting white blood cells).

Low neutrophils lead to frequent bacterial infections such as ear infections, pneumonia, sinus infections, urinary tract infections, and skin or liver abscesses. Gum disease has also been reported. Some people have neurological features such as cognitive impairment and epilepsy. It is noticed in newborns.

Signs & symptoms

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

  • Low neutrophil count
  • Repeated bacterial infections
  • Developmental delay
  • Intellectual disability
  • Hearing loss
  • Clumsiness

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, cancer specialists and genetic specialists.

  3. Consider genetic testing

    Changes in HAX1 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); Cancer specialists (oncologists); 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 National Neutropenia Network 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 HAX1 gene confirm the diagnosis?
How often should blood counts be checked?
What should we do when a fever or infection shows up?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesHAX1

Changes in the HAX1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: autosomal recessive severe congenital neutropenia type 3; infantile agranulocytosis; kostmann disease; neutropenia, severe congenital 3, autosomal recessive; scn3; severe congenital neutropenia type 3

Patient organizations

Source: NIH GARD · Kostmann syndromeGARD ID 302 · 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 Kostmann syndrome.

Explore the Kostmann syndrome blog

Explore research for Kostmann syndrome

Explore actively recruiting Kostmann syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Kostmann syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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