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autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED); autoimmune polyglandular syndrome type 1; Whitaker's syndrome
Epidemiology:
- reported worldwide
- exceptionally prevalent among the Finnish population (incidence 1:25000) & the Iranian jews
Genetics:
- autosomal recessive
- associated with defects in AIRE
Clinical manifestations:
1) autoimmune polyendocrinopathies:
- hypoparathyroidism
- adrenocortical failure
- IDDM
- gonadal failure
- hypothyroidism
- pernicious anemia
- hepatitis
2) chronic mucocutaneous candidiasis
3) ectodermal dystrophies:
- vitiligo
- alopecia
- keratopathy
- dystrophy of dental enamel, nails & tympanic membranes
4) in addition, a high proportion of patients develop squamous cell carcinoma of the oral mucosa
Interactions
disease interactions
General
autoimmune polyglandular syndrome; autoimmune polyendocrine syndrome
genetic disease of the immune system
genetic syndrome (multisystem disorder)
Database Correlations
OMIM 240300
References
- OMIM :accession 240300
- Medical Knowledge Self Assessment Program (MKSAP) 16, 18.
American College of Physicians, Philadelphia 2012, 2018
- NORD: National Organization for Rare Disorders
https://rarediseases.org/rare-diseases/autoimmune-polyglandular-syndrome-type-1/
- Sarker I et al
AUTOIMMUNE POLYENDOCRINE SYNDROME TYPE 1: A RARE CASE REPORT AND
REVIEW OF THE LITERATURE.
AACE Clinical Case Reports: Spring 2017, Vol. 3, No. 2, pp. e96-e100.
https://journals.aace.com/doi/full/10.4158/EP161366.CR
- Wu N
Autoimmune polyglandular syndrome type 1.
DermNet NZ
https://dermnetnz.org/topics/autoimmune-polyglandular-syndrome-type-1/