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Living with Reticular dysgenesis

A very severe inherited immune condition present from birth that leaves the body unable to fight infection, along with hearing loss.

Understanding Reticular dysgenesis

Reticular dysgenesis is the most severe form of severe combined immunodeficiency (SCID), a condition in which the immune system does not work.

Babies with this condition lack both the quick-response and the long-term parts of the immune system. It also causes deafness in both ears (bilateral sensorineural deafness). Signs begin in the newborn and infant period. Without treatment, serious blood infection (septicemia) can develop within days after birth.

Signs & symptoms

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

  • Repeated lung and breathing infections
  • Hearing loss
  • Blood infection (sepsis)
  • Diarrhea and trouble absorbing food
  • Poor weight gain (failure to thrive)
  • Absent or small thymus gland

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 AK2 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
Should we have genetic testing for the AK2 gene?
What treatment options exist for severe combined immunodeficiency?
How can we lower the risk of infections at home?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesAK2

Reticular dysgenesis is caused by changes in the AK2 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: ak2 deficiency; aleukocytosis; congenital aleukia; congenital aleukocytosis; de vaal disease; devaal disease

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Reticular dysgenesisGARD ID 8625 · 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 Reticular dysgenesis.

Explore the Reticular dysgenesis blog

Explore research for Reticular dysgenesis

Explore actively recruiting Reticular dysgenesis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Reticular dysgenesis 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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