Abstract

Autoimmune polyglandular syndrome (APG) type I is an orphan disease with autosomal recessive inheritance caused by mutations in the autoimmune regulator gene (AIRE); the disease onset typically occurs in childhood. The disease is characterized by a wide variety of clinical manifestations with a certain stage in the manifestation of individual symptoms. The rare occurrence of this pathology determines its late diagnosis, which can lead to the decompensated life-threatening conditions and an unfavorable outcome. Widely informing pediatric specialists will contribute to the development of a diagnostic algorithm for timely verifying the disease from the moment its first clinical manifestations appear, and will improve the quality and life expectancy of the patients.

Highlights

  • Autoimmune polyglandular syndrome (APG) type I is an orphan disease with autosomal recessive inheritance caused by mutations in the autoimmune regulator gene (AIRE); the disease onset typically occurs in childhood

  • The disease is characterized by a wide variety of clinical manifestations with a certain stage in the manifestation of individual symptoms

  • Informing pediatric specialists will contribute to the development of a diagnostic algorithm for timely verifying the disease from the moment its first clinical manifestations appear, and will improve the quality and life expectancy of the patients

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Summary

Introduction

Autoimmune polyglandular syndrome (APG) type I is an orphan disease with autosomal recessive inheritance caused by mutations in the autoimmune regulator gene (AIRE); the disease onset typically occurs in childhood. Полигландулярный синдром 1 типа (синдром Уайтекера или кандидополиэндокринный синдром, ювенильная, юношеская полиэндокринопатия) представляет собой моногенное заболевание с аутосомно-рецессивным типом наследования, возникающее вследствие мутации гена AIRE, кодирующего белок AutoImmune Regulator, с манифестацией в детском возрасте и характеризующееся наличием классической триады заболеваний — первичного хронического кандидоза, первичного гипопаратиреоза и первичной надпочечниковой недостаточности [1,2].

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