Due to the lack of confirmative test, diagnostic criteria include low circulating immunoglobulin count (decrease in IgG and IgA, +/– IgM), exclusion of other causes of hypogammaglobulinemia, and a list of other immunologic parameters (e.g., poor response to vaccination, low percentage of switched memory B cells) that can differentiate CVID from unclassified antibody deficiency (UAD) (https://esid.org/Education/Diagnostic-Criteria-PID). This evidence concerns the gene CD40LG and urethra adenocarcinoma.