Oral mucous squamous cell carcinoma—an anticipated consequence of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) - 24/04/13
Abstract |
Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) is a rare autosomal recessive disease caused by mutations in the AIRE gene. We report the case of a female patient with a 967-979del13 mutation in the AIRE gene. Her medical history included autoimmune hypoparathyroidism, Addison disease, and chronic mucocutaneous candidiasis. At the age of 40, she developed multiple white verrucous plaques on the oral mucosa. Histologically, the lesions appeared as moderately differentiated squamous cell carcinomas. The patient subsequently developed multiple local recurrences and therefore required repeated surgery. Notably, a higher incidence rate of oral and esophageal squamous cell carcinoma has been observed in this syndrome. However, the critical pathogenetic pathways implicated in squamous cell carcinoma development in APECED are far from being well understood.
Le texte complet de cet article est disponible en PDF.Key words : APECED, autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy, squamous cell carcinoma
Plan
Funding sources: None. |
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Conflicts of interest: None declared. |
Vol 62 - N° 5
P. 864-868 - mai 2010 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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