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Living with T-lymphocyte deficiency

A rare inherited immune condition with very few T cells because the thymus is missing, causing repeated infections in infancy.

Understanding T-lymphocyte deficiency

T-lymphocyte deficiency is a rare inherited immune condition with a missing thymus and very few T cells.

The thymus is a gland that helps T cells mature. Without it, antibody levels are normal or high. Babies have chronic or repeated infections, including thrush and skin, lung, and urinary tract infections. They also have chronic diarrhea and slow weight gain. Signs show in the newborn or infant years.

Signs & symptoms

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

  • Missing thymus
  • Very low T cell count
  • Repeated infections
  • Pneumonia
  • Slow weight gain
  • Autoimmune problems

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 FOXN1 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
What treatments can rebuild my child's immune system?
How can we lower infection risk at home?
Would FOXN1 gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesFOXN1

Changes in the FOXN1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: congenital thymic dysplasia syndrome; immune defect due to absence of thymus; nezelof syndrome; nezelof's syndrome; thymic aplasia

Patient organizations

Broader rare-disease groups

Source: NIH GARD · T-lymphocyte deficiencyGARD ID 7201 · 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 T-lymphocyte deficiency.

Explore the T-lymphocyte deficiency blog

Explore research for T-lymphocyte deficiency

Explore actively recruiting T-lymphocyte deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for T-lymphocyte deficiency 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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