Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation

Polyglandular autoimmune syndrome type 1, also known as autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED), is a rare primary immunodeficiency disorder with multi-organ involvement. Besides for being predisposed to severe life-threatening infections, patients with APECED are als...

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Main Author: Tatyana Gavrilova
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Immunology
Online Access:http://dx.doi.org/10.1155/2019/8746249
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author Tatyana Gavrilova
author_facet Tatyana Gavrilova
author_sort Tatyana Gavrilova
collection DOAJ
description Polyglandular autoimmune syndrome type 1, also known as autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED), is a rare primary immunodeficiency disorder with multi-organ involvement. Besides for being predisposed to severe life-threatening infections, patients with APECED are also prone to organ impairment secondary to severe autoimmunity. As this is an autosomal recessive disorder, a biallelic mutation in the AIRE gene is responsible for APECED. The author presents a case of APECED with a single AIRE mutation. Whole exome sequencing identified a mutation in the BTNL2 gene that the author suggests may have contributed to the patient’s presentation.
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2090-6617
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spelling doaj-art-3c38c6b4e537404aa468aa32d2e443a32025-08-20T02:08:18ZengWileyCase Reports in Immunology2090-66092090-66172019-01-01201910.1155/2019/87462498746249Primary Immunodeficiency with Severe Multi-Organ Immune DysregulationTatyana Gavrilova0Assistant Professor, Albert Einstein College of Medicine, Attending in Medicine and Pediatrics, Division of Allergy and Immunology, Montefiore Medical Center, Bronx, NY, USAPolyglandular autoimmune syndrome type 1, also known as autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED), is a rare primary immunodeficiency disorder with multi-organ involvement. Besides for being predisposed to severe life-threatening infections, patients with APECED are also prone to organ impairment secondary to severe autoimmunity. As this is an autosomal recessive disorder, a biallelic mutation in the AIRE gene is responsible for APECED. The author presents a case of APECED with a single AIRE mutation. Whole exome sequencing identified a mutation in the BTNL2 gene that the author suggests may have contributed to the patient’s presentation.http://dx.doi.org/10.1155/2019/8746249
spellingShingle Tatyana Gavrilova
Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation
Case Reports in Immunology
title Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation
title_full Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation
title_fullStr Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation
title_full_unstemmed Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation
title_short Primary Immunodeficiency with Severe Multi-Organ Immune Dysregulation
title_sort primary immunodeficiency with severe multi organ immune dysregulation
url http://dx.doi.org/10.1155/2019/8746249
work_keys_str_mv AT tatyanagavrilova primaryimmunodeficiencywithseveremultiorganimmunedysregulation