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Living with TCR-alpha-beta-positive T-cell deficiency

A rare inherited immune condition with repeated infections, immune overactivity, and skin and blood problems.

Understanding TCR-alpha-beta-positive T-cell deficiency

TCR-alpha-beta-positive T-cell deficiency is a rare inherited immune condition.

People have repeated lung and ear infections, thrush, and diarrhea. The immune system can also be overactive, causing eczema, vitiligo, patchy hair loss, and autoimmune anemia. Slow weight gain, swollen lymph nodes, and an enlarged liver have been reported. Signs begin in infancy.

Signs & symptoms

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

  • Repeated respiratory and ear infections
  • Chronic oral thrush
  • Diarrhea
  • Autoimmune problems such as hemolytic anemia
  • Vitiligo and patchy hair loss
  • Enlarged liver, spleen, and lymph nodes

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TRAC 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); Digestive system specialists (gastroenterologists); 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 immune tests do I or my child need regularly?
How can we lower infection risk at home?
Would TRAC gene testing help our family?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesTRAC

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

GeneticGastrointestinal

Also known as: imd7; immunodeficiency 7; immunodeficiency 7, tcr-alpha/beta deficient; t-cell receptor alpha/beta deficiency; tcr-alpha-beta+ t-cell deficiency; tcr-alpha/beta deficiency

Patient organizations

Broader rare-disease groups

Source: NIH GARD · TCR-alpha-beta-positive T-cell deficiencyGARD ID 17646 · 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 TCR-alpha-beta-positive T-cell deficiency.

Explore the TCR-alpha-beta-positive T-cell deficiency blog

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