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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795206PMC
http://dx.doi.org/10.1038/ejhg.2015.208DOI Listing

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Article Synopsis
  • Autoimmune polyglandular syndrome 1 (APS1) is a genetic disorder characterized by multiple autoimmune issues, including candidiasis, hypoparathyroidism, and adrenal insufficiency, caused by mutations in the autoimmune regulator gene.
  • A case study of a 39-year-old woman with APS1 highlighted her severe health challenges, including childhood fungal infections that led to a bone marrow transplant and adult-onset partial lipodystrophy marked by significant fat loss.
  • Research showed pathogenic variants in her genetic profile and the presence of specific autoantibodies, suggesting potential links to fat tissue issues, though the exact cause of her lipodystrophy remains unclear.
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Aims/hypothesis: Caused by biallelic mutations of the gene encoding the transcription factor , the rare Mitchell-Riley syndrome (MRS) comprises neonatal diabetes, pancreatic hypoplasia, gallbladder agenesis or hypoplasia, duodenal atresia, and severe chronic diarrhea. So far, sixteen cases have been reported, all with a poor prognosis. This study discusses the multidisciplinary intensive clinical management of 4 new cases of MRS that survived over the first 2 years of life.

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Neonatal diabetes is a highly genetically heterogeneous disorder. There are over 20 distinct syndromic and non-syndromic forms, including dominant, recessive and X-linked subtypes. Biallelic truncating or mis-sense mutations in the DNA-binding domain of the RFX6 transcription factor cause an autosomal recessive, syndromic form of neonatal diabetes previously described as Mitchell-Riley syndrome.

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