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Living with Leukocyte adhesion deficiency 1

A rare inherited immune condition causing serious skin and mouth infections from birth, with slow wound healing.

Understanding Leukocyte adhesion deficiency 1

Leukocyte adhesion deficiency type 1 is a rare inherited immune condition in which the body can't protect itself well against bacteria and fungi.

Serious bacterial and fungal infections begin from birth, mostly in the skin and the lining of the nose and mouth. An early sign is a late-falling umbilical cord stump, along with infection of the stump. Infections do not form pus, and wounds heal slowly. In childhood, severe gum disease can lead to loss of teeth.

Signs & symptoms

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

  • Delayed separation of the umbilical cord
  • Repeated bacterial infections
  • Chronic yeast infections of the skin and mouth
  • High white blood cell count
  • Inflamed gums (gingivitis)
  • Chronic diarrhea

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ITGB2 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); Eye disease specialists (ophthalmologists); 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
Would ITGB2 gene testing help our family?
How can we protect against infections and care for wounds?
Which dental and immune specialists should be on our team?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesITGB2

It is caused by changes in the ITGB2 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: itgb2 leukocyte adhesion deficiency; lad - leukocyte adhesion deficiency type 1; lad 1; lad-i; lad-type i; lad1

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Leukocyte adhesion deficiency 1GARD ID 6893 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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