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Living with MHC class I deficiency

An inherited immune condition causing repeated lung and airway infections and skin sores, starting in childhood.

Understanding MHC class I deficiency

MHC class I deficiency, also called bare lymphocyte syndrome type I (BLS I), is an inherited immune system disorder.

The immune system cannot protect the body well against bacteria and viruses. From childhood, most people have repeated bacterial infections of the lungs and airways. These can lead to bronchiectasis, which damages the airways. Many also have skin ulcers, usually on the face, arms, and legs, developing in adolescence or young adulthood. Some have no symptoms.

Signs & symptoms

GARD doesn't list a separate symptom list, but its summary describes these:

  • Repeated bacterial lung and airway infections
  • Airway damage (bronchiectasis)
  • Skin sores (ulcers) on the face, arms, and legs
  • No symptoms in some people

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  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
Which gene is involved, and can we have genetic testing?
How can lung infections and airway damage be prevented or monitored?
What care is there for the skin ulcers?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive

People have too few specialized immune proteins called MHC class I proteins on their cells. Changes in genes (also called variants) cause this. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: bare lymphocyte syndrome type 1; bare lymphocyte syndrome type i; bls, type i; blsi; hla class i deficiency; immunodeficiency by defective expression of hla (human leukocyte antigen) class 1

Patient organizations

Broader rare-disease groups

Source: NIH GARD · MHC class I deficiencyGARD ID 9548 · 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 MHC class I deficiency.

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Explore research for MHC class I deficiency

Explore actively recruiting MHC class I deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for MHC class I deficiency 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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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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