raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:75391

Primary immunodeficiency with natural-killer cell deficiency and adrenal insufficiency

Synonyms: Primary immunodeficiency due to MCM4 deficiency

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

A rare DNA repair defect other than combined T-cell and B-cell immunodeficiencies characterized by intrauterine and postnatal growth retardation resulting in short stature, microcephaly, glucocorticoid deficiency, natural killer cell deficiency, and recurrent viral infections. Patients may also have increased susceptibility to cancer.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPrimary immunodeficiency with natural-killer cell deficiency and adrenal insufficiencyPrimary immunodeficiency due to MCM4 deficiency
frDéficit immunitaire primaire avec déficit en cellules NK et insuffisance surrénaleDéficit immunitaire primaire par déficit en MCM4 · Immunodéficience primaire avec déficit en cellules NK et insuffisance surrénale
dePrimärer Immundefekt mit Mangel der natürlichen Killerzellen und NebenniereninsuffizienzPrimärer Immundefekt durch MCM4-Mangel
esInmunodeficiencia primaria con deficiencia de células natural-killer e insuficiencia suprarrenalInmunodeficiencia primaria por deficiencia en MCM4
itImmunodeficienza primitiva con deficit delle cellule natural killer e insufficienza surrenalicaImmunodeficienza primitiva da deficit di MCM4
nlPrimaire immuundeficiëntie met deficiëntie van natuurlijke killercellen en adrenale insufficiëntiePrimaire immuundeficiëntie door MCM4-deficiëntie
ptImunodeficiência primária com deficiência de células NK e insuficiência supra-renalImunodeficiência primária por deficiência de MCM4
plNiedobór odporności z deficytem komórek naturalnych zabójców i niewydolnością nadnerczyPierwotny Niedobór odporności spowodowany deficytem MCM4
csPrimární imunodeficience s deficitem NK buněk a adrenální nedostatečnostíPrimární imunodeficience způsobená deficitem MCM4
ukПервинний імунодефіцит з дефіцитом натуральних кілерів та недостатністю надниркових залозПервинний імунодефіцит внаслідок дефіциту MCM4
zh原发性免疫缺陷伴自然杀伤细胞缺乏和肾上腺功能减退MCM4缺陷所致原发性免疫缺陷
trDoğal öldürücü hücre eksikliği ve adrenal yetmezlik ile seyreden primer immün yetmezlikMCM4 eksikliğine bağlı primer immün yetmezlik

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609981Evalidated
ICD-10D84.8NTBTattributedvalidated
ICD-114A00.3NTBTattributedvalidated
MONDO0012383Evalidated
UMLSC4518328Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MCM4Disease-causing germline mutation(s) inAssessedHGNC:6947ENSG000001047386026388q11.21minichromosome maintenance complex component 422405088[PMID]_22354170[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated22354167[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22354167[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