Immunodysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome: an unusual cause of proteinuria in infancy

Pediatr Nephrol. 2007 Oct;22(10):1799-802. doi: 10.1007/s00467-007-0532-0. Epub 2007 Jul 13.

Abstract

We report on a 6-month-old child presenting with chronic diarrhea, failure to thrive, eczema, autoimmune hemolytic anemia (AIHA), insulin-dependent diabetes mellitus (IDDM), hypoalbuminemia, and proteinuria. Renal biopsy showed membranous glomerulonephritis. A diagnosis of Immunodysregulation, polyendocrinopathy, enteropathy, x-linked (IPEX) syndrome was subsequently confirmed by DNA analysis, which demonstrated the presence of a mutation in exon 2 of the FOXP3 gene (303-304 del TT). Proteinuria secondary to membranous glomerulonephritis is a novel feature of IPEX syndrome. Membranous glomerulonephritis went into remission after the patient had received hematopoietic stem cell transplantation (HSCT).

Publication types

  • Case Reports

MeSH terms

  • Autoimmune Diseases / diagnosis*
  • Autoimmune Diseases / genetics
  • Diarrhea
  • Exons
  • Forkhead Transcription Factors / genetics
  • Glomerulonephritis / genetics
  • Homeodomain Proteins
  • Humans
  • Infant
  • Male
  • Mutation
  • Proteinuria / etiology*
  • Trans-Activators
  • Vomiting
  • Weight Loss

Substances

  • FOXP3 protein, human
  • Forkhead Transcription Factors
  • Homeodomain Proteins
  • Trans-Activators
  • pancreatic and duodenal homeobox 1 protein