raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:34592

Immunodeficiency by defective expression of MHC class I

Synonyms: Bare lymphocyte syndrome type 1 · MHC class I deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A rare autosomal recessive primary immunodeficiency characterized by severe reduction in the cell surface expression of HLA class I molecules, typically resulting in childhood-onset of chronic bacterial infections of the respiratory tract evolving to widespread bronchiectasis and respiratory insufficiency. Sterile necrotizing granulomatous skin lesions mainly involving the extremities and the mid-face may be observed in some patients. Severe viral infections do not occur as part of the condition. Atypical variants without respiratory or cutaneous manifestations, as well as asymptomatic individuals have been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enImmunodeficiency by defective expression of MHC class IBare lymphocyte syndrome type 1 · MHC class I deficiency
frDéficit immunitaire par déficit d'expression des molécules CMH de classe IDéficit en CMH de classe I · Immunodéficience par déficit d'expression des molécules CMH de classe I · Syndrome des lymphocytes dénudés type I
deImmundefekt durch MHC Klasse I-ExpressionsdefektBLS Typ 1 · MHC Klasse I-Defizienz · Nackte-Lymphozyten-Syndrom Typ I
esInmunodeficiencia por expresión deficiente del CMH de clase IDeficiencia de CMH de clase I · Síndrome del linfocito desnudo tipo 1
itImmunodeficienza da deficit di espressione del complesso maggiore di istocompatibilità di classe ISindrome dei linfociti nudi, tipo 1
nlImmuundeficiëntie door verstoorde expressie van MHC klasse IMHC klasse I-deficiëntie · Naakt lymfocytsyndroom type 1
ptImunodeficiência por défice da expressão de MHC classe 1Deficiência de MHC classe I
plNiedobór odporności z powodu wadliwej ekspresji HLA klasy 1Bare lymphocyte syndrome type 1
csImunodeficience s poruchou exprese HLA 1.třídySyndrom nahých lymfocytů, typ 1
ukІмунодефіцит, зумовлений дефектною експресією MHC класу IСиндром голих лімфоцитів, тип 1 · Дефіцит MHC класу I
zhMHC-I类分子表达缺陷所致免疫缺陷裸淋巴细胞综合征1型
trMHC sınıf I'in defektine bağlı immün yetmezlikMHC sınıf I eksikliği · Çıplak lenfosit sendromu tip 1

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM241600BTNTvalidated
OMIM604571Evalidated
ICD-10D81.6Especificvalidated
ICD-114A01.11Especificvalidated
MONDO0011476Evalidated
MeSHC565759Evalidated
UMLSC1858266Evalidated
GARD8427Evalidated

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

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
B2MDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:914ENSG0000016671010970015q21.1beta-2-microglobulin25702838[PMID]
TAP1Disease-causing germline mutation(s) inAssessedHGNC:43ENSG000001683941702606p21.32transporter 1, ATP binding cassette subfamily B member10074494[PMID]
TAP2Disease-causing germline mutation(s) inAssessedHGNC:44ENSG000002042671702616p21.32transporter 2, ATP binding cassette subfamily B member10560675[PMID]
TAPBPDisease-causing germline mutation(s) inAssessedHGNC:11566ENSG000002319256019626p21.32TAP binding protein12149238[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 casesWorldwideCase(s)Validated25001848[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25001848[PMID]

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

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card