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口腔黏膜鳞状细胞癌——自身免疫性多内分泌腺病-念珠菌病-外胚层发育不良(APECED)的预期后果。

Oral mucous squamous cell carcinoma-an anticipated consequence of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED).

机构信息

Department of Dermatology, Innsbruck Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria.

出版信息

J Am Acad Dermatol. 2010 May;62(5):864-8. doi: 10.1016/j.jaad.2009.06.061. Epub 2010 Mar 20.

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.

摘要

自身免疫性多内分泌腺病-念珠菌病-外胚层营养不良(APECED)是一种由 AIRE 基因突变引起的罕见常染色体隐性疾病。我们报告了一例 AIRE 基因 967-979del13 突变的女性患者。她的病史包括自身免疫性甲状旁腺功能减退症、艾迪生病和慢性黏膜皮肤念珠菌病。40 岁时,她口腔黏膜上出现多个白色疣状斑块。组织学上,病变呈中分化鳞状细胞癌。患者随后出现多处局部复发,因此需要反复手术。值得注意的是,这种综合征中口腔和食管鳞状细胞癌的发病率较高。然而,APECED 中鳞状细胞癌发展所涉及的关键发病途径远未被很好地理解。

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