Eur J Endocrinol
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DOI: 10.1530/eje.0.1460519
European Journal of Endocrinology, Vol 146, Issue 4, 519-522
Copyright © 2002 by European Society of Endocrinology
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Articles

Mutational analysis of the autoimmune regulator (AIRE) gene in sporadic autoimmune Addison's disease can reveal patients with unidentified autoimmune polyendocrine syndrome type I

AS Boe, PM Knappskog, AG Myhre, JI Sorheim, and ES Husebye

Division of Endocrinology, Institute of Medicine, Haukeland University Hospital, N-5021 Bergen, Norway. Anette.Boe@med.uib.no

OBJECTIVE: To investigate whether patients with Addison's disease and polyendocrine syndromes have undiagnosed autoimmune polyendocrine syndrome type I (APS I). MATERIALS AND METHODS: Forty patients with clinical manifestations resembling APS I and with autoantibodies typical of this condition were screened for Norwegian autoimmune regulator (AIRE) gene mutations. RESULTS: A 30-year old man who had developed Addison' s disease at the age of 12, but had no other components of APS I, was homozygous for the 1094-1106 deletion mutation in exon 8 of the AIRE gene, the most common mutation found in Norway. CONCLUSIONS: APS I patients with milder and atypical phenotypes are difficult to diagnose on clinical grounds. Autoantibody analysis and mutational analysis of AIRE may therefore be helpful modalities for identifying these individuals.


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