Gastric Adenocarcinoma in the Setting of IPEX Syndrome
Author(s) -
David Steffin,
Saleh Bhar,
Douglas S. Fishman,
Nicholas L. Rider,
Bindi NaikMathuria,
Caridad Martinez,
Rajkumar Venkatramani
Publication year - 2021
Publication title -
case reports in immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 3
eISSN - 2090-6609
pISSN - 2090-6617
DOI - 10.1155/2021/9967198
Subject(s) - enteropathy , immune dysregulation , medicine , foxp3 , cancer , autoimmunity , adenocarcinoma , gastric adenocarcinoma , immunology , immune system , disease
Immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome is a rare X-linked disorder caused by a loss of function mutation in the FOXP3 gene. It manifests early in infancy with clinical symptoms including autoimmune enteropathy, type 1 diabetes mellitus, and eczema. While aberrant FOXP3 expression has been associated with several types of cancer, little is known regarding the risk of cancer in patients with IPEX harboring the characteristic FOXP3 mutation. Here, we present a unique case of a primary signet ring gastric adenocarcinoma in a pediatric patient with IPEX syndrome.
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