Autoimmune Polyglandular Syndrome Type 1

Haitham S. El Messallamy
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Abstract

One of the rarest autoimmune diseases is the autoimmune polyglandular syndrome type 1 which is caused by defects in the AIRE gene leading to affection of several endocrine glands. Two out of three criteria are needed for diagnosis including hypoparathyroidism, adrenal insufficiency along with other non-endocrinal symptoms such as mucocutaneous candidiasis. Management of the condition is multidisciplinary with regular long-life follow-ups. Generally, there is a paucity of illustrative articles in literature about the pathogenesis and the main signs and symptoms of autoimmune polyglandular syndrome type 1 in a simplified manner which lead to the need for such articles. This article attempts to fill that void as an illustrative overview for the purpose of education and awareness about this condition because the early the treating physician can diagnose and accordingly treat the patient, the better the prognosis of the disease becomes with less morbidity and mortality rates.
自身免疫性多腺综合征1型
1型自身免疫性多腺综合征是一种罕见的自身免疫性疾病,它是由AIRE基因缺陷导致多个内分泌腺受到影响而引起的。诊断需要三个标准中的两个,包括甲状旁腺功能减退、肾上腺功能不全以及其他非内分泌症状,如皮肤粘膜念珠菌病。这种情况的管理是多学科的,定期进行长期随访。一般来说,文献中缺乏对自身免疫性多腺综合征1型的发病机制和主要体征、症状进行简单阐述的文章,因此需要这类文章。本文试图填补这一空白,作为一种说明性的概述,目的是为了教育和认识这种情况,因为治疗医生越早诊断和相应治疗患者,疾病的预后就越好,发病率和死亡率也越低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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