Abstract
1例患儿6月龄起病,以反复腹泻、便血,伴有营养不良、贫血、肛瘘为主要表现,初诊为极早发型炎症性肠病,经过抗感染、营养治疗、生物制剂、美沙拉嗪及激素治疗后效果不佳,完善二代基因测序证实为X连锁多内分泌腺病肠病伴免疫失调(IPEX)综合征。停止治疗后随访至4岁,患儿症状自发缓解。以极早发型炎症性肠病样表现为主要特征且症状自发缓解的IPEX综合征尚未见中文报道。.
MeSH terms
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Age of Onset
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Diabetes Mellitus, Type 1 / congenital*
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Diabetes Mellitus, Type 1 / diagnosis
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Diabetes Mellitus, Type 1 / genetics
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Diabetes Mellitus, Type 1 / immunology
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Diabetes Mellitus, Type 1 / therapy
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Diarrhea / diagnosis*
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Diarrhea / genetics
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Diarrhea / immunology*
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Diarrhea / therapy
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Forkhead Transcription Factors / genetics*
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Genetic Diseases, X-Linked / complications*
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Genetic Diseases, X-Linked / diagnosis
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Genetic Diseases, X-Linked / genetics*
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Genetic Diseases, X-Linked / immunology
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Genetic Diseases, X-Linked / therapy
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Humans
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Immune System Diseases / congenital*
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Immune System Diseases / diagnosis
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Immune System Diseases / genetics
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Immune System Diseases / immunology
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Immune System Diseases / therapy
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Inflammatory Bowel Diseases / diagnosis*
Substances
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Forkhead Transcription Factors
Supplementary concepts
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Immune Dysregulation, Polyendocrinopathy, Enteropathy, X-Linked Syndrome