raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:169079

Cernunnos-XLF deficiency

Synonyms: Cernunnos XLFD · Cernunnos deficiency · Combined immunodeficiency-microcephaly-growth retardation-sensitivity to ionizing radiation syndrome · NHEJ1 deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Cernunnos-XLF deficiency is a rare form of combined immunodeficiency characterized by microcephaly, growth retardation, and T and B cell lymphopenia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCernunnos-XLF deficiencyCernunnos XLFD · Cernunnos deficiency · Combined immunodeficiency-microcephaly-growth retardation-sensitivity to ionizing radiation syndrome · NHEJ1 deficiency
frDéficit en cernunnos-XLFDéficit en NHEJ1 · Déficit en cernunnos · Syndrome de déficit immunitaire combiné-microcéphalie-retard de croissance-sensibilité aux radiations ionisantes
deCernunnos/XLF-MangelCernunnos XLFD · Cernunnos-Mangel · Immundefekt, kombinierter schwerer - Mikrozephalie - Wachstumsretardierung - Sensitivität gegenüber ionisierender Strahlung · Immundefekt, kombinierter schwerer - Mikrozephalie - Wachstumsretardierung - Strahlenempfindlichkeit · NHEJ1-Mangel
esDeficiencia de cernunnos-XLFCernunnos XLFD · Deficiencia de NHEJ1 · Deficiencia de cernunnos · Inmunodeficiencia combinada-microcefalia-retraso del crecimiento-sensibilidad a la radiación ionizante
itDeficit di Cernunnos-XLFDeficit di Cernunnos · Deficit di NHEJ1 · Immunodeficienza combinata - microcefalia - ritardo della crescita - sensibilità alle radiazioni ionizzanti · XLFD di Cernunnos
nlCernunnos-XLF-deficiëntieCernunnos XLFD · Cernunnosdeficiëntie · Gecombineerde immuundeficiëntie - microcefalie - groeiachterstand - gevoeligheid voor ioniserende bestraling · NHEJ1-deficiëntie
ptImunodeficiência combinada grave - microcefalia - atraso de crescimento - sensibilidade às radiações ionizantes
plNiedobór Cernunnos-XLFCernunnos XLFD · Niedobór białka Cernunnos · Niedobór NHEJ1 · Złożony Niedobór odporności - małogłowie - opóźnienie wzrostu - wrażliwość na promieniowanie jonizujące
csCernunnos-XLF deficienceCernunnos XLFD · Cernunnos deficit · Deficit NHEJ1 · Syndrom zahrnující kombinovanou imunodeficienci, mikrocefalii, růstovou retardaci a citlivost k ionizujícímu záření
ukДефіцит сernunnos-XLFДефіцит Цернуннаса · Cernunnos XLFD · Комбінований імунодефіцит-мікроцефалія-затримка росту-чутливість до іонізуючого випромінювання · Дефіцит NHEJ1
zhCernunnos-XLF 缺陷联合免疫缺陷-小头畸形-生长迟缓-电离辐射敏感综合征
trCernunnos-XLF eksikliğiCernunnos XLFD · NHEJ1 eksikliği · Cernunnos eksikliği · Kombine immün yetmezlik-mikrosefali-büyüme geriliği-iyonlaştırıcı radyasyon sendromuna duyarlılık

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM611291Evalidated
ICD-10D81.1NTBTattributedvalidated
ICD-114A01.1YNTBTindexvalidated
MONDO0012650Evalidated
UMLSC4303792Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NHEJ1Disease-causing germline mutation(s) inAssessedHGNC:25737ENSG000001877366112902q35non-homologous end joining factor 1
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families5 casesWorldwideCase(s)Validated[EXPERT]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

16 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000320Bird-like facies
HP:0000414Bulbous nose
HP:0000444Convex nasal ridge
HP:0004313Decreased circulating antibody level
HP:0010976Decreased total B cell count
HP:0005403Decreased total T cell count
HP:0001510Growth delay
HP:0001888Lymphopenia
HP:0000252Microcephaly
HP:0000340Sloping forehead
Frequent (79-30%)
HP:0001903Anemia
HP:0001873Thrombocytopenia
Occasional (29-5%)
HP:0002960Autoimmunity
HP:0002721Immunodeficiency
HP:0002718Recurrent bacterial infections
HP:0004429Recurrent viral infections

Run the differential on the 10 obligate / very frequent terms

7

Sources for this card