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A rare, genetic T-B- severe combined immunodeficiency disorder due to null mutations in recombination activating gene (RAG) 1 and/or RAG2 resulting in less than 1% of wild type V(D)J recombination activity. Patients present with neonatal onset of life-threatening, severe, recurrent infections by opportunistic fungal, viral and bacterial micro-organisms, as well as skin rashes, chronic diarrhea, failure to thrive and fever. Immunologic observations include profound T- and B-cell lymphopenia, normal NK counts and low or absent serum immunoglobulins; some patients may have eosinophilia.
Features include: Meningitis, Diarrhea, Decreased total T cell count, and Mastoiditis and 11 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 3 | Severe combined immunodeficiency, Recurrent opportunistic infections, Failure to thrive secondary to recurrent infections |
Growth and development | 2 | Failure to thrive, Failure to thrive secondary to recurrent infections |
Brain and nerves | 1 | Meningitis |
Digestive system | 1 | Diarrhea |
Lungs and breathing | 1 | Pneumonia |
Eyes | 1 | Conjunctivitis |
Ears | 1 | Otitis media |
Bones and joints | 1 | Joint inflammation (arthritis) |
RAG1 function has not been fully characterized.
Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive is associated with mutations in the RAG1 gene on chromosome 11.
RAG2 function has not been fully characterized.
Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive is associated with mutations in the RAG2 gene on chromosome 11.
Genetic testing for RAG1, RAG2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive has been reported in the published literature.
Estimated prevalence: 1-9 in 100,000 (Uncommon).
No clinical trials have been registered for severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive.
4 publications have been identified in PubMed for severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive. Research spans Epidemiology / Natural History (50%), Diagnostic / Biomarker (25%), and Case Report / Case Series (25%).
Chan CM (2026). [PMID: 41727494](https://pubmed.ncbi.nlm.nih.gov/41727494/). *Front Immunol*. [Case Report / Case Series]
Asseri AA (2026). [PMID: 41917755](https://pubmed.ncbi.nlm.nih.gov/41917755/). *Fetal Pediatr Pathol*. [Epidemiology / Natural History]
Do Carmo AP (2025). [PMID: 40488587](https://pubmed.ncbi.nlm.nih.gov/40488587/). *Acta Derm Venereol*. [Epidemiology / Natural History]
Tahiat A (2024). [PMID: 39072316](https://pubmed.ncbi.nlm.nih.gov/39072316/). *Front Immunol*. [Diagnostic / Biomarker]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 8:49 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center