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Living with Specific granule deficiency

A rare genetic condition of infection-fighting white blood cells that leads to repeated infections from infancy.

Understanding Specific granule deficiency

Specific granule deficiency is a rare condition in which neutrophils (a type of white blood cell) don't work properly.

Infants have more infections than usual, especially of the skin, ears, lungs and lymph nodes. Under the microscope, neutrophils lack their specific granules and have two-lobed nuclei. Bone marrow tests show too many cells overall but few neutrophils. Some people also have mild to moderate developmental delay, mild facial differences, and differences of the bones, teeth and nails.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. Based on its summary, features include:

  • Repeated infections from infancy
  • Skin, ear, lung and lymph node infections
  • Neutrophils missing granules
  • Mild to moderate developmental delay
  • Mild facial differences
  • Bone, teeth or nail differences

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
Can genetic testing help find the cause?
How can we lower the chance of infections?
How often should blood and bone marrow be checked?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition, but it doesn't list a gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: neutrophil lactoferrin deficiency; neutrophil-specific granule deficiency; recurrent infection due to specific granule deficiency; sgd - specific granule deficiency

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Specific granule deficiencyGARD ID 10778 · 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 Specific granule deficiency.

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Explore research for Specific granule deficiency

Explore actively recruiting Specific granule deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Specific granule 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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