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Living with X-linked severe congenital neutropenia

A rare inherited immune condition in males, with low infection-fighting white blood cells and repeated bacterial infections.

Understanding X-linked severe congenital neutropenia

X-linked severe congenital neutropenia is a rare inherited immune condition with very low neutrophils (infection-fighting white blood cells) from birth.

People with this condition have repeated major bacterial infections. They also have low monocytes, another type of white blood cell. GARD says it has been described in five males across three generations of one family. Symptoms may begin in the newborn and infant years.

Signs & symptoms

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

  • Low neutrophil count (a type of white blood cell)
  • Low monocyte count (another white blood cell)
  • Repeated bacterial infections

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 WAS 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 National Neutropenia Network 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
Could genetic testing of the WAS gene confirm the diagnosis?
How often should blood counts be checked?
Which specialists should manage infections and the immune system?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesWAS

Changes in the WAS gene cause this condition. The gene makes the WASP protein, and the condition is passed down in an X-linked recessive way.

Genetic

Also known as: neutropenia, severe congenital, x-linked, x-linked recessive; scnx; severe congenital neutropenia, x-linked

Patient organizations

Source: NIH GARD · X-linked severe congenital neutropeniaGARD ID 3981 · 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 severe congenital neutropenia.

Explore the X-linked severe congenital neutropenia blog

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