DAVID H. VAN THIEL, M.D.; WILLIAM I. SMITH Jr., M.D.; BRUCE S. RABIN, M.D., Ph.D.; STANLEY E. FISHER, M.D.; ROGER LESTER, M.D.
Three persons in a kindred of 43 had variable expression of a syndrome consisting of immunoglobulin A deficiency, diabetes mellitus, malabsorption, and a common HLA haplotype. Findings from the proband included lifethreatening malabsorption; idiopathic intestinal mucosal atrophy with inflammation; IgA deficiency and antibodies to multiple endocrine organs; insulin-dependent diabetes mellitus; and the major histocompatibility antigens HLA-A2, B8, and DW3. In addition to the described syndrome other conditions present in the family include Graves' disease, vitiligo, hypocomplementemia, rheumatic fever, multiple sclerosis, and a nigh frequency of antibodies to endocrine tissue. Since Graves' disease, diabetes mellitus, and idiopathic Addison's disease have all been described in association with HLA-B8 and DW3, we believe that the occurrence of these diseases in this family suggests that a single immune response gene or gene complex is linked with HLA-B8 and DW3.
THIEL DHV, SMITH WI, RABIN BS, et al. A Syndrome of Immunoglobulin A Deficiency, Diabetes Mellitus, Malabsorption, and a Common HLA Haplotype: Immunologic and Genetic Studies of Forty-Three Family Members. Ann Intern Med. 1977;86:10–19. doi: 10.7326/0003-4819-86-1-10
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Published: Ann Intern Med. 1977;86(1):10-19.
Cardiology, Celiac Disease and Malabsorption, Coronary Risk Factors, Diabetes, Endocrine and Metabolism.
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