raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:37042

Immune dysregulation-polyendocrinopathy-enteropathy-X-linked syndrome

Synonyms: Autoimmune enteropathy type 1 · IPEX

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

A rare immunodysregulatory disease characterized by refractory diarrhea, endocrinopathies, cutaneous involvement, and infections.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enImmune dysregulation-polyendocrinopathy-enteropathy-X-linked syndromeAutoimmune enteropathy type 1 · IPEX
frSyndrome de dérèglement immunitaire-polyendocrinopathie-entéropathie lié à l'XEntéropathie auto-immune de type 1 · IPEX
deImmundysregulation-Polyendokrinopathie-Enteropathie-Syndrom, X-chromosomalesEnteropathie, autoimmune, Typ 1 · IPEX
esSíndrome de inmunodesregulación-poliendocrinopatía-enteropatía ligada al cromosoma XEnteropatía autoinmune tipo 1 · IPEX
itSindrome disregolazione immunitaria-poliendocrinopatia-enteropatia legata all'XEnteropatia autoimmune, tipo 1 · IPEX
nlX-gebonden immuundisregulatie - polyendocrinopathie - enteropathie-syndroomAuto-immune enteropathie type 1 · IPEX
ptSíndrome de imunodesregulação-poliendocrinopatia-enteropatia ligada ao XIPEX
plZespół dysregulacja immunologiczna - poliendokrynopatia - enteropatia sprzężony z chromosomem XAutoimmunologiczna enteropatia typu 1 · IPEX
csSyndrom zahrnující imunitní dysregulaci, polyendokrinopatii a enteropatii vázanou na chromozom XAutoimunitní enteropatie, typ 1 · IPEX
ukХ-зчеплений синдром імунної дисрегуляції-поліендокринопатії-ентеропатіїАутоімунна ентеропатія типу 1 · IPEX
zhx连锁多内分泌腺病肠病伴免疫失调综合征自身免疫性肠病1型
trBağışıklık düzensizliği-poliendokrinopati-enteropati-X'e bağlı sendromIPEX · Otoimmün enteropati tip 1

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM304790Evalidated
ICD-10E31.0NTBTattributedvalidated
ICD-114A01.21NTBTindexvalidated
MONDO0010580Evalidated
MeSHC580192Evalidated
UMLSC0342288Evalidated
GARD1850Evalidated
MedDRA10080631Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FOXP3Disease-causing germline mutation(s) inAssessedHGNC:6106ENSG00000049768300292Xp11.23forkhead box P311137993[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families195 casesWorldwideCase(s)Validated32234571[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

60 annotations · validated 2019-05-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002960Autoimmunity
Frequent (79-30%)
HP:0003111Abnormal blood ion concentration
HP:0002242Abnormal intestine morphology
HP:0000818Abnormality of the endocrine system
HP:0012393Allergy
HP:0025379Anti-thyroid peroxidase antibody positivity
HP:0007473Crusting erythematous dermatitis
HP:0000964Eczematoid dermatitis
HP:0000964Eczematoid dermatitis
HP:0001531Failure to thrive in infancy
HP:0003212Increased circulating IgE concentration
HP:0011123Inflammatory abnormality of the skin
HP:0001891Iron deficiency anemia
HP:0031401Reduced proportion of CD4-negative, CD8-negative, alpha-beta regulatory T cells
HP:0005208Secretory diarrhea
HP:0100646Thyroiditis
HP:0100651Type I diabetes mellitus
Occasional (29-5%)
HP:0008066Abnormal blistering of the skin
HP:0030909Anti-liver cytosolic antigen type 1 antibody positivity
HP:0001890Autoimmune hemolytic anemia
HP:0001973Autoimmune thrombocytopenia
HP:0004326Cachexia
HP:0031085Decreased circulating prealbumin concentration
HP:0001875Decreased total neutrophil count
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0012115Hepatitis
HP:0003073Hypoalbuminemia
HP:0002901Hypocalcemia
HP:0002917Hypomagnesemia
HP:0000821Hypothyroidism
HP:0031104Insulin receptor antibody positivity
HP:0006515Interstitial pneumonitis
HP:0002024Malabsorption
HP:0012578Membranous nephropathy
HP:0008404Nail dystrophy
HP:0001904Neutropenia in presence of anti-neutropil antibodies
HP:0003765Psoriasiform dermatitis
HP:0031123Recurrent gastroenteritis
HP:0002719Recurrent infections
HP:0002205Recurrent respiratory infections
HP:0001581Recurrent skin infections
HP:0002098Respiratory distress
HP:0001970Tubulointerstitial nephritis
HP:0001025Urticaria
HP:0002013Vomiting
Very rare (<4-1%)
HP:0001596Alopecia
HP:0002583Colitis
HP:0025156Dependency on intravenous nutrition
HP:0005263Gastritis
HP:0000836Hyperthyroidism
HP:0002595Ileus
HP:0002716Lymphadenopathy
HP:0001287Meningitis
HP:0100614Myositis
HP:0040288Nasogastric tube feeding
HP:0000100Nephrotic syndrome
HP:0002754Osteomyelitis
HP:0002090Pneumonia
HP:0100806Sepsis
HP:0001744Splenomegaly

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30805323[PMID]_24240290[PMID]_20301297[PMID]

7

Sources for this card