Toward a potential association between eosinophilic esophagitis and Klinefelter syndrome: a case series and review of the literature.

Therap Adv Gastroenterol

Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padua, 35128, Padua, Italy.

Published: February 2022

Klinefelter syndrome (KS) is a sex aneuploidy abnormality comprised by one additional X chromosome. It occurs in 1:500-1000 male births. As with women, an increased susceptibility to autoimmune diseases is present. We report three cases of coexisting EoE and KS for a prevalence of 2% in our EoE clinic. Possible changes in gene expression in KS are reviewed, some of which may be related to activation of genes located on the X chromosome. We postulate that these X-activated genes in patients with KS yield a greater likelihood of developing EoE because of their genetic predisposition to autoimmune diseases.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855470PMC
http://dx.doi.org/10.1177/17562848221076888DOI Listing

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