The clinical spectrum of inflammatory Bowel disease associated with specific genetic syndromes: two novel pediatric cases and a systematic review
Open accessAbstract
Background and Aims:Inflammatory bowel disease (IBD) is a typical polygenic disorder and less frequently shows a monogenic origin. Furthermore, IBD can originate in the context of specific genetic syndromes associated with a risk of autoimmune disorders. We aimed to systematically evaluate the prevalence of IBD in specific genetic syndromes and to review the clinical characteristics of the published cases. Methods:According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, studies describing patients with IBD and a genetic syndrome and/or studies indicating the prevalence or incidence of IBD in subjects with a genetic syndrome were included. Results:Forty-six studies describing a total of 67 cases of IBD in six genetic syndromes and two personally assessed unpublished cases were included in the review. The majority of cases were associated with Turner syndrome (TS) (38 cases), Down syndrome (DS) (18 cases) and neurofibromatosis type 1 (NF1) (8 cases). Sporadic cases were described in DiGeorge syndrome (2), Kabuki syndrome (2), and Williams syndrome (1). The prevalence of IBD ranged from 0.67 to 4% in TS and from 0.2 to 1.57% in DS. The incidence of IBD was increased in TS and DS compared to the general population. Eight cases of IBD in TS had a severe/lethal course, many of which described before the year 2000. Two IBD cases in DS were particularly severe. Conclusion:Evidence of a greater prevalence of IBD is accumulating in TS, DS, and NF1. Management of IBD in patients with these genetic conditions should consider the presence of comorbidities and possible drug toxicities. Systematic Review Registration: PROSPERO, identifier: CRD42021249820
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IBD in TS may present at a younger age (mean 17.8 ± 2.3 years, range 3-41 years).
“IBD in TS may also present at a younger age (mean 17.8 ± 2.3 years, range 3-41 years),728 be more severe,729 and/or have unique treatment complications,732 although there is likely reporting bias.”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [729]
A previous systematic review reported a prevalence range of IBD in TS between 0.67% and 4%.
“A 2023 meta-analysis found an increased expressivity of IBD in TS of 1.86% (95% CI 1.48%-2.34%),728 congruent with the findings in a previous systematic review reporting a prevalence range between 0.67% and 4%.729”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [729]
A systematic review of 25 cases in the literature found equal distribution of IBD between monosomy and structurally abnormal X chromosomes.
“Unlike previous studies reporting higher rates of IBD among patients with isochromosome Xq karyotype,730,731 a systematic review of 25 cases in the literature found equal distribution between monosomy and structurally abnormal X chromosomes.729”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [729]
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- Authors
- Gatti, S., Gelzoni, G., Catassi, G. N., & Catassi, C.
- Affiliations
- Marche Polytechnic University (IT)
- Policlinico Umberto I (IT)
- Corresponding author
- Gatti, Simona
- Venue
- Frontiers in Pediatrics
- Publisher
- Frontiers Media SA
- Published
- 2021-10-26
- Volume
- 9
- Pages
- 742830-742830
- ISSN
- 2296-2360 (ISSN-L)
- PMC
- PMC8576358
- OpenAlex
- W3208554578
- Cited by
- 14
- References
- 93
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 3
- FWCI
- 0.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Pediatrics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Università Politecnica delle Marche (Università Politecnica delle Marche) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Keywords
- inflammatory bowel disease, genetic syndromes, Turner syndrome, Down syndrome, neurofibromatosis type 1, 22q11.2 deletion syndrome, Kabuki syndrome, Williams syndrome, IBD prevalence, IBD incidence, pediatric patients, autoimmune disease comorbidity, drug toxicity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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