Counseling may be needed if the child has: 

• recurrent bacterial infections;
• more than one severe infection;
• infections that are atypical, unusually severe, chronic, do not have a sufficient therapeutic effect;
• abscesses of internal organs, repeated subcutaneous abscesses;
• prolonged or frequent diarrhea;
• long-term, severe warts, generalized molluscus contagiosus infection, papillomavirus;
• common candidiasis, often stomatitis in children over 1 year of age;
• post-vaccination complications (disseminated BCG or varicella infection, paralytic polio, rotavirus infection);
• bronchiectasis or pneumococci;
• severe or atypical eczema or dermatitis;
• recurrent fever or subfebrile genesis of unclear genesis;
• angioedema;
• autoimmune cytopenias;
• cases of primary immunodeficiency in the family.