Toward a potential association between eosinophilic esophagitis and Klinefelter syndrome: a case series and review of the literature

Author:

Ghisa Matteo12,Savarino Vincenzo3,Buda Andrea2,Katzka David A.4,Savarino Edoardo5ORCID

Affiliation:

1. Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy

2. Gastroenterology Unit, Department of Oncological Gastrointestinal Surgery, S. Maria del Prato Hospital, Feltre, Italy

3. Gastroenterology Unit, Department of Internal Medicine, University of Genoa, IRCCS Ospedale Policlinico San Martino, Genoa, Italy

4. Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA

5. Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padua, 35128, Padua, Italy

Abstract

Klinefelter syndrome (KS) is a sex aneuploidy abnormality comprised by one additional X chromosome. It occurs in 1:500–1000 male births. As with women, an increased susceptibility to autoimmune diseases is present. We report three cases of coexisting EoE and KS for a prevalence of 2% in our EoE clinic. Possible changes in gene expression in KS are reviewed, some of which may be related to activation of genes located on the X chromosome. We postulate that these X-activated genes in patients with KS yield a greater likelihood of developing EoE because of their genetic predisposition to autoimmune diseases.

Publisher

SAGE Publications

Subject

Gastroenterology

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