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Autoimmune enteropathy and endocrinopathy-susceptibility to chronic infections syndrome is an extremely rare, autosomal dominant immunological disorder characterized by variable enteropathy, endocrine disorders (e.g. type 1 diabetes mellitus, hypothyroidism), immune dysregulation with pulmonary and blood-borne bacterial infections, and fungal infections (chronic mucocutaneous candidiasis) developing in infancy. Other manifestations include short stature, eczema, hepatosplenomegaly, delayed puberty, and osteoporosis/osteopenia.
Features include always present findings: Decreased anti-CD3/28-induced T-cell proliferation and Immunodeficiency; and common findings: Protein-losing enteropathy, Enlarged liver (hepatomegaly), Disseminated histoplasmosis, and Mild bone density loss (osteopenia) and others. 38 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 5 | Autoimmune hemolytic anemia, Recurrent infections, Enlarged spleen (splenomegaly) |
Digestive system | 4 | Enlarged liver (hepatomegaly), Gastrointestinal eosinophilia, Enlarged spleen (splenomegaly) |
Lungs and breathing | 3 | Pulmonary nodule, Bronchiectasis, Recurrent respiratory infections |
Growth and development | 3 | Short stature, Weight loss, Growth delay |
Hormones | 3 | Diabetes mellitus, Hypothyroidism, Delayed puberty |
Bones and joints | 3 | Mild bone density loss (osteopenia), Bone infection (osteomyelitis), Skeletal muscle atrophy |
Muscles | 3 | Muscle weakness, Skeletal muscle atrophy, Villous atrophy |
Skin | 2 | Pulmonary nodule, Eczematoid dermatitis |
Metabolism | 1 | Fever |
Brain and nerves | 1 | Fatigue |
STAT1 function has not been fully characterized.
Autoimmune enteropathy and endocrinopathy - susceptibility to chronic infections syndrome is caused by mutations in the STAT1 gene on chromosome 2.
Genetic testing for STAT1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 13 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for autoimmune enteropathy and endocrinopathy - susceptibility to chronic infections syndrome.
7 publications have been identified in PubMed for autoimmune enteropathy and endocrinopathy - susceptibility to chronic infections syndrome. Research spans Case Report / Case Series (43%), Basic Science / Preclinical (29%), and Review / Meta-Analysis (14%).
Vemula M (2025). [PMID: 41608501](https://pubmed.ncbi.nlm.nih.gov/41608501/). *Journal of human immunity*. [Basic Science / Preclinical]
Sparanese S (2025). [PMID: 40704637](https://pubmed.ncbi.nlm.nih.gov/40704637/). *Endocrinology, diabetes & metabolism case reports*. [Case Report / Case Series]
Niehues T (2024). [PMID: 39381601](https://pubmed.ncbi.nlm.nih.gov/39381601/). *Allergologie select*. [Case Report / Case Series]
Alakeel A (2024). [PMID: 39687689](https://pubmed.ncbi.nlm.nih.gov/39687689/). *Dermatology reports*. [Case Report / Case Series]
Cortesi M (2024). [PMID: 39749336](https://pubmed.ncbi.nlm.nih.gov/39749336/). *Frontiers in immunology*. [Epidemiology / Natural History]
Fink FM (2024). [PMID: 39114664](https://pubmed.ncbi.nlm.nih.gov/39114664/). *Frontiers in immunology*. [Basic Science / Preclinical]
Olbrich P (2024). [PMID: 39475850](https://pubmed.ncbi.nlm.nih.gov/39475850/). *Current opinion in allergy and clinical immunology*. [Review / Meta-Analysis]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 9:49 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center