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Living with X-linked lymphoproliferative syndrome

An inherited immune condition found almost only in males, with strong immune reactions to Epstein-Barr virus and some immune system cancers.

Understanding X-linked lymphoproliferative syndrome

X-linked lymphoproliferative disease (XLP) is a disorder of the immune system and blood-forming cells found almost only in males.

More than half of people have an exaggerated immune response to the Epstein-Barr virus (EBV). This can cause hemophagocytic lymphohistiocytosis (HLH), with fever, damage to bone marrow cells, and liver damage. About one-third have abnormal antibody levels and are prone to infections. About one-third develop lymphomas, cancers of immune cells.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary describes these:

  • Strong immune reaction to Epstein-Barr virus
  • Fever
  • Liver damage
  • Abnormal antibody levels and repeated infections
  • Lymphoma
  • Damage to bone marrow cells

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 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
Which type of XLP do we have?
How is EBV monitored?
Which immune specialist should be on my care team?

Quick facts

Symptoms usually starta variety of ages
InheritanceX-Linked

GARD says changes in genes (variants) cause this condition and it follows X-linked inheritance. It doesn't name a gene here.

Genetic

Also known as: duncan disease; duncan's syndrome; familial fatal epstein-barr infection; lymphoproliferative syndrome, x-linked; purtilo syndrome; severe susceptibility to epstein-barr infection

Patient organizations

Source: NIH GARD · X-linked lymphoproliferative syndromeGARD ID 10915 · 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 X-linked lymphoproliferative syndrome.

Explore the X-linked lymphoproliferative syndrome blog

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Explore actively recruiting X-linked lymphoproliferative syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for X-linked lymphoproliferative syndrome 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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