Combined immunodeficiency with facio-oculo-skeletal anomalies

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ORPHA:221139OMIM:613328Q87.8
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Overview

Combined immunodeficiency with facio-oculo-skeletal anomalies is an extremely rare genetic condition that affects multiple body systems at the same time. The name describes its three main areas of impact: the immune system (combined immunodeficiency), the face and eyes (facio-oculo), and the bones and skeleton (skeletal anomalies). Children born with this condition have a weakened immune system, which means their body has trouble fighting off infections. Both the T-cells and B-cells of the immune system may be affected, leaving the child vulnerable to frequent and severe infections. In addition to immune problems, affected individuals typically have distinctive facial features, eye abnormalities that can affect vision, and skeletal differences such as abnormal bone development or growth problems. Because this disease affects so many parts of the body, it usually becomes apparent early in life, often during infancy. Treatment is mainly supportive and focuses on managing infections, supporting the immune system, and addressing the specific bone and eye problems. In some cases, bone marrow or stem cell transplantation may be considered to correct the immune deficiency. Because this condition is so rare, management often requires a coordinated team of specialists. Research into the exact genetic causes and targeted treatments is still ongoing.

Also known as:

Key symptoms:

Frequent and severe infectionsUnusual facial featuresEye abnormalities or vision problemsBone or skeletal abnormalitiesShort stature or growth delayFailure to thrive in infancyRecurrent lung infections or pneumoniaChronic diarrheaSkin rashes or infectionsDelayed developmentJoint problems or stiffnessLow levels of immune cells in blood workFeeding difficulties in infancy

Clinical phenotype terms (50)— hover any for plain English
Decreased specific antibody response to vaccinationHP:0032140Decreased CD4+ T cell proportionHP:0032218Clinodactyly of the 2nd fingerHP:0040022Clinodactyly of the 3rd fingerHP:0040024Clinodactyly of the 4th fingerHP:0040025Reduced total natural killer cell countHP:0040218Nasogastric tube feedingHP:0040288Palpebral edemaHP:0100540Recurrent ear infectionsHP:0410018Flat foreheadHP:0004425Abnormality of the chinHP:0000306
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Combined immunodeficiency with facio-oculo-skeletal anomalies.

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No actively recruiting trials found for Combined immunodeficiency with facio-oculo-skeletal anomalies at this time.

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No specialists are currently listed for Combined immunodeficiency with facio-oculo-skeletal anomalies.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Combined immunodeficiency with facio-oculo-skeletal anomalies.

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Community

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Caregiver Resources

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Social Security Disability

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Questions for your doctor

Bring these to your next appointment

  • Q1.What is the severity of my child's immune deficiency, and what infections should we watch for?,Is my child a candidate for stem cell transplantation, and what are the risks and benefits?,What genetic testing has been done, and are there any identified gene mutations?,What specialists should be part of my child's care team?,How can we best protect my child from infections in daily life?,What are the expected effects on my child's growth, vision, and skeletal development over time?,Are there any clinical trials or research studies that my child might be eligible for?

Common questions about Combined immunodeficiency with facio-oculo-skeletal anomalies

What is Combined immunodeficiency with facio-oculo-skeletal anomalies?

Combined immunodeficiency with facio-oculo-skeletal anomalies is an extremely rare genetic condition that affects multiple body systems at the same time. The name describes its three main areas of impact: the immune system (combined immunodeficiency), the face and eyes (facio-oculo), and the bones and skeleton (skeletal anomalies). Children born with this condition have a weakened immune system, which means their body has trouble fighting off infections. Both the T-cells and B-cells of the immune system may be affected, leaving the child vulnerable to frequent and severe infections. In additio

How is Combined immunodeficiency with facio-oculo-skeletal anomalies inherited?

Combined immunodeficiency with facio-oculo-skeletal anomalies follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Combined immunodeficiency with facio-oculo-skeletal anomalies typically begin?

Typical onset of Combined immunodeficiency with facio-oculo-skeletal anomalies is infantile. Age of onset can vary across affected individuals.