raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3453

Autoimmune polyendocrinopathy type 1

Synonyms: APECED syndrome · APS type 1 · APS1 · Autoimmune hypoparathyroidism-chronic candidiasis-Addison disease syndrome · Autoimmune polyendocrine syndrome type 1 · Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome · Autoimmune polyglandular syndrome type 1 · HAM syndrome · Hypoparathyroidism-Addison disease-mucocutaneous candidiasis syndrome · MEDAC syndrome · Multiple endocrine deficiency-Addison disease-candidiasis syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood
Status
active

A rare, genetic, disease that manifests in childhood or early adolescence with a combination of chronic mucocutaneous candidiasis, hypoparathyroidism and autoimmune adrenal failure.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutoimmune polyendocrinopathy type 1APECED syndrome · APS type 1 · APS1 · Autoimmune hypoparathyroidism-chronic candidiasis-Addison disease syndrome · Autoimmune polyendocrine syndrome type 1 · Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome · Autoimmune polyglandular syndrome type 1 · HAM syndrome · Hypoparathyroidism-Addison disease-mucocutaneous candidiasis syndrome · MEDAC syndrome · Multiple endocrine deficiency-Addison disease-candidiasis syndrome
frPolyendocrinopathie auto-immune type 1APS type 1 · APS1 · Syndrome APECED · Syndrome HAM · Syndrome MEDAC · Syndrome d'hypoparathyroïdie auto-immune-candidose chronique-maladie d'Addison · Syndrome de déficit endocrinien multiple-maladie d'Addison-candidose · Syndrome de polyendocrinopathie auto-immune-candidose-dystrophie ectodermique · Syndrome polyglandulaire auto-immun type 1
deAutoimmun-Polyendokrinopathie Typ 1APECED-Syndrom · APS Typ 1 · APS-1 · Autoimmun-Polyendokrinopathie - Candidose - Ektodermale Dystrophie · Autoimmun-polyendokrines Syndrom Typ 1 · Autoimmun-polyglanduläres Syndrom Typ 1 · Autoimmuner Hypoparathyreoidismus - chronische Kandidiasis - Addison-Krankheit · Autoimmunes-Polyendokrinopathie-Kandidiasis-Ektodermales-Dystrophie-Syndrom · HAM-Syndrom · Hypoparathyreoidismus - Addison-Krankheit - mukokutane Candidiasis · MEDAC-Syndrom
esPoliendocrinopatía autoinmune tipo 1APS tipo 1 · APS1 · Síndrome APECED · Síndrome HAM · Síndrome MEDAC · Síndrome de deficiencia endocrina múltiple-enfermedad de Addison-candidiasis · Síndrome de hipoparatiroidismo autoinmune-candidiasis crónica-enfermedad de Addison · Síndrome de hipoparatiroidismo-enfermedad de Addison-candidiasis mucocutánea · Síndrome de poliendocrinopatía autoinmune-candidiasis-distrofia ectodérmica · Síndrome poliendocrino autoinmune tipo 1 · Síndrome poliglandular autoinmune tipo 1
itPoliendocrinopatia autoimmune tipo 1APS, tipo 1 · APS1 · Ipoparatiroidismo autoimmune - candidosi cronica - malattia di Addison · Sindrome APECED · Sindrome HAM · Sindrome MEDAC · Sindrome deficit endocrino multiplo-malattia di Addison-candidosi · Sindrome ipoparatiroidismo autoimmune-candidiasi cronica-malattia di Addison · Sindrome ipoparatiroidismo-malattia di Addison-candidiasi · Sindrome poliendocrina autoimmune, tipo 1 · Sindrome poliendocrinopatia autoimmune-candidiasi-distrofia ectodermica · Sindrome polighiandolare autoimmune, tipo 1
nlAuto-immune polyendocrinopathie type 1APECED-syndroom · APS type 1 · APS1 · Auto-immune hypoparathyreoïdie - chronische candidiasis - ziekte van Addison-syndroom · Auto-immune polyendocrinopathie - candidiasis - ectodermale dystrofie-syndroom · Auto-immuun polyendocrien syndroom type 1 · Auto-immuun polyglandulair syndroom type 1 · HAM-syndroom · Hypoparathyreoïdie - ziekte van Addison - mucocutane candidiasis-syndroom · MEDAC-syndroom · Meervoudige endocriene deficiëntie - ziekte van Addison - candidiasis-syndroom
ptPoliendocrinopatia autoimune tipo 1APS tipo 1 · Síndrome APECED · Síndrome HAM · Síndrome MEDAC · Síndrome de hipoparatiroidismo autoimune-candidíase crónica-doença de Addison · Síndrome de hipoparatiroidismo-doença de Addison-candidíase mucocutânea · Síndrome de poliendocrinopatia autoimune tipo 1 · Síndrome de poliendocrinopatia autoimune-candidíase-distrofia ectodérmica · Síndrome poliglandular autoimune tipo 1
plAutoimmunologiczny zespół niedoczynności wielogruczołowej typu 1APS1 · APS typu 1 · Zespół HAM · Zespół MEDAC · Zespół APECED · Autoimmunologiczny zespół wielogruczołowy typu 1 · Zespół mnogiej niedoczynności endokrynologicznej, choroby Addisona i drożdżycy · Zespół niedoczynności przytarczyc, choroby Addisona i kandydozy śluzowo-skórnej · Zespół poliendokrynopatii autoimmunologicznej, drożdżycy i dystrofii ektodermalnej · Zespół autoimmunologicznej niedoczynności przytarczyc, przewkekłej drożdżycy i choroby Addisona
csAutoimunitní polyglandulární syndrom, typ 1APEDEC syndrom · APS typ 1 · APS1 · Syndrom zahrnující autoimunitní hypoparatyreoidismus, chronickou kandidózu a Addisonovu chorobu · Autoimunitní polyendokrinní syndrom, typ 1 · Syndrom zahrnující autoimunitní polyendokrinopatii, kandidózu a syndrom ektodermální dystrofie · Autoimunitní polyglandulární syndrom 1. typu · HAM syndrom · Syndrom zahrnující hypoparatyreoidismus, Addisonovu chorobu a mukokutánní kandidózu · MEDAC syndrom · APS syndrom 1. typu · Syndrom zahrnující mnohočetný endokrinní deficit, Addisonovu chorobu a kandidózu · Blizzardův syndrom
ukАутоімунна поліендокринопатія, тип 1Синдром APECED · APS тип 1 · APS1 · Аутоімунний гіпопаратиреоз - хронічний кандидоз - синдром хвороби Аддісона · Аутоімунний поліендокринний синдром типу 1 · Синдром аутоімунної поліендокринопатії-кандидозу-ектодермальної дистрофії · Аутоімунний полігландулярний синдром, тип 1 · HAM-синдром · Синдром гіпопаратиреозу - хвороби Аддісона - слизово-шкірного кандидозу · Синдром MEDAC · Синдром множинного ендокринного дефіциту - хвороби Аддісона - кандидозу
zh自身免疫性多内分泌腺病1型自身免疫性甲状旁腺功能减退症-慢性念珠菌病-爱迪生病综合征
trOtoimmün poliendokrinopati tip 1APS1 · APS tip 1 · HAM sendromu · MEDAC sendromu · APECED sendromu · Otoimmün poliendokrin sendromu tip 1 · Otoimmün poliglandüler sendrom tip 1 · Çoklu endokrin eksikliği-Addison hastalığı-kandidiyaz sendromu · Hipoparatiroidi-Addison hastalığı-mukokutanöz kandidiyaz sendromu · Otoimmün poliendokrinopati-kandidiyaz-ektodermal distrofi sendromu · Otoimmün hipoparatiroidi-kronik kandidiyaz-Addison hastalığı sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM240300Evalidated
ICD-10E31.0NTBTinclusionvalidated
ICD-115B00NTBTindexvalidated
MONDO0009411Evalidated
MeSHC538275Evalidated
UMLSC0085859Evalidated
GARD8466Evalidated
MedDRA10036072Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (12):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AIREDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:360ENSG0000016022460735821q22.3autoimmune regulator22460196[PMID]_23342054[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 0004 / 100 000FinlandValue and classValidated[EXPERT]
Point prevalence1-9 / 1 000 0000.5 / 100 000FranceValue and classValidated[EXPERT]
Point prevalence1-9 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

38 annotations · validated 2025-01-15
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100530Abnormality of calcium-phosphate metabolism
HP:0100659Abnormality of the cerebral vasculature
HP:0008221Adrenal hyperplasia
HP:0002960Autoimmunity
HP:0002728Chronic mucocutaneous candidiasis
HP:0004319Decreased circulating aldosterone level
HP:0000829Hypoparathyroidism
HP:0003118Increased circulating cortisol level
HP:0008207Primary adrenal insufficiency
Frequent (79-30%)
HP:0034071Anti-21-hydroxylase antibody positivity
HP:0034055Anti-side-chain cleavage enzyme antibody positivity
HP:0000518Cataract
HP:0100502Decreased circulating vitamin B12 concentration
HP:0000968Ectodermal dysplasia
HP:0006297Enamel hypoplasia
HP:0000953Hyperpigmentation of the skin
HP:0001096Keratoconjunctivitis
HP:0007759Opacification of the corneal stroma
HP:0000613Photophobia
HP:0008209Premature ovarian insufficiency
HP:0100651Type I diabetes mellitus
Occasional (29-5%)
HP:0001596Alopecia
HP:0001746Asplenia
HP:0002582Atrophic gastritis
HP:0012804Corneal ulceration
HP:0000872Hashimoto thyroiditis
HP:0012115Hepatitis
HP:0000135Hypogonadism
HP:0001053Hypopigmented skin patches
HP:0006515Interstitial pneumonitis
HP:0002024Malabsorption
HP:0008404Nail dystrophy
HP:0000123Nephritis
HP:0000648Optic atrophy
HP:0008720Primary testicular failure
HP:0007663Reduced visual acuity
HP:0000554Uveitis
HP:0001045Vitiligo

Run the differential on the 9 obligate / very frequent terms

Annotation source: 25905251[PMID]_25905375[PMID]_30725896[PMID]_35690244[PMID]

7

Sources for this card