TY - JOUR
T1 - Fulminant autoimmune hepatitis in a girl with 22q13 deletion syndrome
T2 - A previously unreported association
AU - Tufano, Maria
AU - Della Corte, Claudia
AU - Cirillo, Francesco
AU - Spagnuolo, Maria Immacolata
AU - Candusso, Manila
AU - Melis, Daniela
AU - Torre, Giuliano
AU - Iorio, Raffaele
PY - 2009/2
Y1 - 2009/2
N2 - We report a 7-year-old girl with 22q13 deletion syndrome, 46,XX,Ish del(22)(q13.3)(ARSA-; D22S1726), who developed a fulminant autoimmune hepatitis requiring orthotopic liver transplantation. Recently, it has been suggested that the Shank3 gene product, whose deficiency is responsible for the features observed in this syndrome, could play a role in immunological response. Despite an increased incidence of respiratory infections, autoimmune diseases have thus far not been reported in patients with this syndrome. This is the first case of fulminant autoimmune hepatitis associated with the 22q13 deletion syndrome. The possible relationships between immune system dysfunctions peculiar of this syndrome and autoimmune hepatitis are discussed.
AB - We report a 7-year-old girl with 22q13 deletion syndrome, 46,XX,Ish del(22)(q13.3)(ARSA-; D22S1726), who developed a fulminant autoimmune hepatitis requiring orthotopic liver transplantation. Recently, it has been suggested that the Shank3 gene product, whose deficiency is responsible for the features observed in this syndrome, could play a role in immunological response. Despite an increased incidence of respiratory infections, autoimmune diseases have thus far not been reported in patients with this syndrome. This is the first case of fulminant autoimmune hepatitis associated with the 22q13 deletion syndrome. The possible relationships between immune system dysfunctions peculiar of this syndrome and autoimmune hepatitis are discussed.
KW - 22q13 syndrome
KW - Autoimmune hepatitis
KW - Shank3 protein
UR - http://www.scopus.com/inward/record.url?scp=58149087898&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=58149087898&partnerID=8YFLogxK
U2 - 10.1007/s00431-008-0732-z
DO - 10.1007/s00431-008-0732-z
M3 - Article
C2 - 18478261
AN - SCOPUS:58149087898
VL - 168
SP - 225
EP - 227
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
SN - 0340-6199
IS - 2
ER -