Abstract:
UNLABELLED:We describe the clinical and immunological features of two families with chronic mucocutaneous candidiasis (CMC) and primary hypothyroidism. Family A includes three siblings with both candidiasis and hypothyroidism and four individuals with hypothyroidism only. Family B includes four members with candidiasis, of whom one (a male child) also had hypothyroidism. All individuals affected with CMC had suffered from oral candidiasis and onychomycosis since infancy. Facial seborrhoic dermatitis, general folliculitis and scaling blepharitis were main manifestations. Hypothyroidism became evident during childhood. No thyroid antibodies were present in the affected siblings in family A, while the male in family B with hypothyroidism had antibodies against thyroid peroxidase at diagnosis. Immunological evaluation revealed intra-individual variations in serum immunoglobulin levels, lymphocyte subsets and proliferative responses, but there were no consistent abnormalities. Vaccine responses were normal. AIRE gene region microsatellite markers did not segregate with disease nor were autoantibodies typical for autoimmune polyendocrine syndrome type 1 detected in the families. CONCLUSION:The link between hypothyroidism and chronic mucocutaneous candidiasis remains to be identified.
journal_name
Eur J Pediatrjournal_title
European journal of pediatricsauthors
Myhre AG,Stray-Pedersen A,Spangen S,Eide E,Veimo D,Knappskog PM,Abrahamsen TG,Husebye ESdoi
10.1007/s00431-004-1516-8keywords:
subject
Has Abstractpub_date
2004-10-01 00:00:00pages
604-11issue
10eissn
0340-6199issn
1432-1076journal_volume
163pub_type
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