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Living with Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiency

An inherited immune condition in which a missing enzyme keeps infection-fighting white blood cells from working, leading to repeated infections.

Understanding Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiency

Adenosine deaminase (ADA) deficiency is an inherited condition that affects the immune system, often causing severe combined immunodeficiency (SCID).

It impairs the development and function of lymphocytes, white blood cells that fight infection. People often get pneumonia, chronic diarrhea, and widespread skin rashes, and they may grow slowly. About 80 percent also have SCID, with health problems in the first 6 months of life. In others, signs start between ages 1 and 10 or in adulthood and are milder.

Signs & symptoms

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

  • Repeated pneumonia
  • Chronic diarrhea
  • Repeated ear and sinus infections
  • Poor weight gain (failure to thrive)
  • Skin inflammation
  • Low T cell and B cell counts

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 ADA 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 Jeffrey Modell Foundation 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
Should we have genetic testing for the ADA gene?
What treatments are available for ADA deficiency?
How can we lower the chance of infections?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesADA

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

GeneticInherited Metabolic

Also known as: ada; ada deficiency; ada-scid; adenosine deaminase deficiency; adenosine deaminase deficiency, partial, autosomal recessive, somatic mosaicism; adenosine deaminase deficient severe combined immunodeficiency

Patient organizations

Source: NIH GARD · Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiencyGARD ID 5748 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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