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Asplenia and functional hyposplenism in autoimmune polyglandular syndrome type 1

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Abstract

Asplenia was diagnosed in four patients with autoimmune polyendocrine syndrome type-I (APS-I): two children, aged 2–4 years, from the same family and two adults, the father of the two children and his cousin. We have observed a worsening in splenic function in the children during a follow-up of a few years. Patients with APS-I should be evaluated for splenic function, since splenic dysfunction has important therapeutic implications, especially in children.

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Fig. 1

Abbreviations

AIRE:

autoimmune regulator

APS-I:

autoimmune polyglandular syndrome type I

References

  1. Betterle C, Gerggio NA, Volpato M (1998) Clinical review 93: Autoimmune polyglandular syndrome type 1. J Clin Endocrinol Metab 83:1049–1055

    Article  PubMed  CAS  Google Scholar 

  2. Bjorses P, Alltonen J, Vikman A, Perheentupa J, Ben-Zion G, Chiumello G, Dahl N, Heidemen P, Hoorweg-Nijman JJ, Mathivon L, Mullis PE, Pohl M, Ritzen M, Romeo G, Shapiro MS, Smith CS, Solyom J, Zlotogora J, Peltonen L (1996) Genetic homogeneity of autoimmune polyglandular disease type I. Am J Hum Genet 59:879–886

    PubMed  CAS  Google Scholar 

  3. Blizzard RM, Gibbs JH (1968) Candidiasis: studies pertaining to its association with endocrinopathies and pernicious anemia. Pediatrics 42:231–237

    PubMed  CAS  Google Scholar 

  4. Davidson, RN, Wall, RA (2001) Prevention and management of infections in patients without a spleen. Clin Microbiol Infect 7:657–660

    Article  PubMed  CAS  Google Scholar 

  5. Friedman TC, Thomas PM, Fleisher TA, Feuillan P, Parker RI, Cassorla F, Chrousos GP (1991) Frequent occurrence of asplenism and cholelithiasis in patients with autoimmune polyglandular disease type I. Am J Med 91:625–630

    Article  PubMed  CAS  Google Scholar 

  6. Gavanescu I, Kessler B, Ploegh H, Benoist C, Mathis D (2007) Loss of Aire-dependent thymic expression of a peripheral tissue antigen renders it a target of autoimmunity. Proc Natl Acad Sci USA 104:4583–4587

    Article  PubMed  CAS  Google Scholar 

  7. Kont V, Laan M, Kisand K, Merits A, Scott HS, Peterson P (2008) Modulation of Aire regulates the expression of tissue-restricted antigens. Mol Immunol 45:25–33

    Article  PubMed  CAS  Google Scholar 

  8. Parker IP, O’Shea P, Forman EN (1990) Acquired splenic atrophy in a sibship with the autoimmune polyendocrinopathy-candidiasis syndrome. J Pediatr 117:591–593

    PubMed  CAS  Google Scholar 

  9. Perheentupa J (2006) Autoimmune polyendocrinopathy- candidiasis- ectadermal dystrophy. J Clin Endocrinol Metab 91:2843–2850

    Article  PubMed  CAS  Google Scholar 

  10. Working Party of the British Committee for Standards in Hematology Task Force (1996) Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. Br Med J 17:430–434

    Google Scholar 

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Correspondence to Ben Zion Garty.

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Pollak, U., Bar-Sever, Z., Hoffer, V. et al. Asplenia and functional hyposplenism in autoimmune polyglandular syndrome type 1. Eur J Pediatr 168, 233–235 (2009). https://doi.org/10.1007/s00431-008-0735-9

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  • DOI: https://doi.org/10.1007/s00431-008-0735-9

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