Uma doença grave do intestino, presente desde o nascimento, que causa diarreia incontrolável no primeiro mês de vida e faz com que a criança tenha dificuldade para crescer e ganhar peso. Ela também está ligada a características diferentes no rosto, problemas no cabelo e, em alguns casos, a problemas no sistema de defesa do corpo (imunidade) e ao fato de o bebê não ter crescido o suficiente ainda na barriga da mãe.
Introdução
O que você precisa saber de cara
Uma doença grave do intestino, presente desde o nascimento, que causa diarreia incontrolável no primeiro mês de vida e faz com que a criança tenha dificuldade para crescer e ganhar peso. Ela também está ligada a características diferentes no rosto, problemas no cabelo e, em alguns casos, a problemas no sistema de defesa do corpo (imunidade) e ao fato de o bebê não ter crescido o suficiente ainda na barriga da mãe.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
Do básico ao detalhe, leia no seu ritmo
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 34 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 94 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
2 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.
Helicase component of the SKI complex, a multiprotein complex that assists the RNA-degrading exosome during the mRNA decay and quality-control pathways (PubMed:16024656, PubMed:32006463, PubMed:35120588). The SKI complex catalyzes mRNA extraction from 80S ribosomal complexes in the 3'-5' direction and channels mRNA to the cytosolic exosome for degradation (PubMed:32006463, PubMed:35120588). SKI-mediated extraction of mRNA from stalled ribosomes allow binding of the Pelota-HBS1L complex and subse
NucleusCytoplasm
Trichohepatoenteric syndrome 2
A syndrome characterized by intrauterine growth retardation, severe diarrhea in infancy requiring total parenteral nutrition, facial dysmorphism, immunodeficiency, and hair abnormalities, mostly trichorrhexis nodosa. Hepatic involvement contributes to the poor prognosis of affected patients.
Component of the SKI complex, a multiprotein complex that assists the RNA-degrading exosome during the mRNA decay and quality-control pathways (PubMed:16024656, PubMed:32006463, PubMed:35120588). The SKI complex catalyzes mRNA extraction from 80S ribosomal complexes in the 3'-5' direction and channels mRNA to the cytosolic exosome for degradation (PubMed:32006463, PubMed:35120588). SKI-mediated extraction of mRNA from stalled ribosomes allow binding of the Pelota-HBS1L complex and subsequent rib
CytoplasmNucleus
Trichohepatoenteric syndrome 1
A syndrome characterized by intrauterine growth retardation, severe diarrhea in infancy requiring total parenteral nutrition, facial dysmorphism, immunodeficiency, and hair abnormalities, mostly trichorrhexis nodosa. Hepatic involvement contributes to the poor prognosis of affected patients.
Variantes genéticas (ClinVar)
416 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 208 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
2 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Diarreia sindrômica
Selecione um estado ou use sua localização para ver resultados.
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Case Report: Tricho-hepato-enteric syndrome in an infant presented with colorectal ulceration and severe respiratory superinfection.
Tricho-hepato-enteric syndrome (THES) is a rare genetic disorder characterized by early-onset intractable diarrhea, intrauterine growth retardation, hair abnormalities, and liver disease during early infancy. THES is often associated with combined immunodeficiency caused by defective interferon-γ production in T cells and hypogammaglobulinemia. However, very few cases of a severe clinical course in infancy have been reported. Here, we report the case of a 2-month-old boy who presented with intractable diarrhea, growth retardation, and hair anomaly. Although fasting and central venous nutrition reduced stool frequency, effective weight gain was not achieved. A colonoscopy revealed multiple irregular ulcers without any cytomegalovirus (CMV)-positive cells. Nevertheless, CMV was detected in peripheral blood using a polymerase chain reaction, and the patient was initially treated with ganciclovir. However, this approach was not clinically effective. The second endoscopy revealed new colonic ulcers with mild active inflammation, and treatment with prednisolone was partially effective. The Immunological evaluation revealed no impaired findings, except for low blastogenesis in T cells. However, the patient developed severe progressive respiratory failure caused by superinfection with Pneumocystis jirovecii and CMV and died at 6 months of age. Clinical sequencing analysis identified compound heterozygous frameshift variants c.195dupA (p.A66Sfs*3) and c.3426dupA (p.A1143Sfs*4) in TTC37 (NM_014639.4), confirming the diagnosis of THES. THES can have a fatal clinical course even during infancy. Detailed immunological and genetic analyses, in addition to endoscopic examination, are crucial for the definitive diagnosis and management of patients with very early-onset inflammatory bowel disease and inborn errors of immunity with systemic features.
Reduced immunoglobulin requirement after dupilumab for atopic dermatitis in trichohepatoenteric syndrome.
Hidden Aberrant Transcripts in TTC37 Cause Trichohepatoenteric Syndrome.
The patient had clinical suspicion of THES. Complex genetic analyzes using WES, WGS were performed without success in the diagnosis. Further molecular analyzes using RNA and protein was necessary to reach the final correct THES diagnosis.
A Case Report and Literature Review on Osteo-Oto-Hepato-Enteric Syndrome in Premature Infants Caused by UNC45A Deficiency.
To report the clinical manifestations, treatment, and genetic diagnosis of a patient with osteo-oto-hepato-enteric (O2HE) syndrome. A retrospective analysis was performed on a Chinese premature infant born at 36 + 5 weeks of gestation. The analysis included maternal pregnancy and delivery history, prenatal ultrasound findings, clinical manifestations, diagnosis and treatment process, and UNC45A gene mutation results for the infant and parents. A literature review was also conducted. The mother had a history of six spontaneous abortions. A late-pregnancy prenatal ultrasound revealed polyhydramnios and diffuse intestinal dilation. The infant developed watery stools and diarrhea shortly after birth and was clinically suspected to have congenital chloride diarrhea. Supportive treatment was administered, and whole-exome sequencing was performed for the family. Two heterozygous mutations were identified in the UNC45A gene, including c.2455C > T (p.Arg819Ter), a novel, previously unreported variant. The infant was ultimately diagnosed with osteo-oto-hepatoenteric syndrome. Genetic analysis of the UNC45A gene is valuable for diagnosing O2HE syndrome. The novel mutation c.2455C > T (p.Arg819Ter) enriches the mutation spectrum of UNC45A, providing further theoretical support for diagnosis and genetic counseling of O2HE.
Trichohepatoenteric syndrome type 1: expanding the clinical spectrum of THES type 1 due to a homozygous variant in the SKIC3 gene.
Trichohepatoenteric syndrome (THES), also known as phenotypic diarrhea or syndromic diarrhea, is a rare autosomal recessive genetic disorder caused by mutations in SKIC2 (THES-type 2) or SKIC3 (THES-type 1) and is characterized by early onset diarrhea, woolly brittle hair, facial dysmorphic features and liver disease. We report the case of a 24-month-old girl who presented with chronic diarrhea since the neonatal period along with intrauterine growth restriction (IUGR), developmental delay, dysmorphic features, congenital heart defects, liver disease, and recurrent infections. The diagnosis was made through whole-exome sequencing analysis, which detected a homozygous variant (c.4070del, p.Pro1357Leufs*10) in the SKIC3 gene. The patient required parenteral nutrition and was hospitalized for the first 10 months of life and then discharged on PN after showing improvement. She remained stable on PN after discharge despite a few admissions for central line infections. Recent follow-up at the age of 2 years revealed that she was stable on long-term parenteral nutrition and that she had advanced chronic liver disease.
Publicações recentes
Reduced immunoglobulin requirement after dupilumab for atopic dermatitis in trichohepatoenteric syndrome.
Trichohepatoenteric Syndrome: A Report of Two Children From Bahrain With a Novel Mutation and a Literature Review.
🥉 Relato de casoPytheasDB: An open-access graphical database of clinical data on rare pediatric digestive diseases.
Hidden Aberrant Transcripts in TTC37 Cause Trichohepatoenteric Syndrome.
Trichohepatoenteric syndrome type 1: expanding the clinical spectrum of THES type 1 due to a homozygous variant in the SKIC3 gene.
📚 EuropePMC35 artigos no totalmostrando 63
Case Report: Tricho-hepato-enteric syndrome in an infant presented with colorectal ulceration and severe respiratory superinfection.
Frontiers in immunologyReduced immunoglobulin requirement after dupilumab for atopic dermatitis in trichohepatoenteric syndrome.
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and ImmunologyA Case Report and Literature Review on Osteo-Oto-Hepato-Enteric Syndrome in Premature Infants Caused by UNC45A Deficiency.
Molecular genetics & genomic medicineTrichohepatoenteric Syndrome: A Report of Two Children From Bahrain With a Novel Mutation and a Literature Review.
CureusPytheasDB: An open-access graphical database of clinical data on rare pediatric digestive diseases.
Intractable & rare diseases researchHidden Aberrant Transcripts in TTC37 Cause Trichohepatoenteric Syndrome.
Clinical geneticsTrichohepatoenteric syndrome type 1: expanding the clinical spectrum of THES type 1 due to a homozygous variant in the SKIC3 gene.
BMC pediatricsExpanding the phenotypic and genotypic characteristics of trichohepatoenteric syndrome: a report of eight patients from five unrelated families.
Molecular biology reportsA Case Report on Tricho-Hepato-Enteric Syndrome: The SKIC3 Gene in Focus.
CureusTrichohepatoenteric syndrome and cytomegalovirus infection: Case report and literature summary.
SAGE open medical case reportsChronic diarrhoea due to trichohepatoenteric syndrome (THES) in an infant.
BMJ case reportsGut microbiota and polycystic ovary syndrome, focus on genetic associations: a bidirectional Mendelian randomization study.
Frontiers in endocrinologyDual Diagnosis of Trichohepatoenteric Syndrome and Lipoid Proteinosis in a Turkish Child.
Molecular syndromologyLong term outcomes in children with trichohepatoenteric syndrome.
American journal of medical genetics. Part ASKI complex: A multifaceted cytoplasmic RNA exosome cofactor in mRNA metabolism with links to disease, developmental processes, and antiviral responses.
Wiley interdisciplinary reviews. RNA[Clinical features of Kawasaki disease complicated by macrophage activation syndrome: an analysis of 27 cases].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsNovel TTC37 mutations in a patient with Trichohepatoenteric syndrome: a case report and literature review.
Translational pediatricsHyper IgM in tricho-hepato-enteric syndrome due to TTC37 mutation.
Immunologic researchRNA exosome drives early B cell development via noncoding RNA processing mechanisms.
Science immunologyThe mammalian SKIV2L RNA exosome is essential for early B cell development.
Science immunologyA yeast model for trichohepatoenteric syndrome suggests strong loss of Ski2 function in most causative mutations.
microPublication biologyUNC45A deficiency causes microvillus inclusion disease-like phenotype by impairing myosin VB-dependent apical trafficking.
The Journal of clinical investigationCase Report: A Novel Homozygous Frameshift Mutation of the SKIV2L Gene in a Trichohepatoenteric Syndrome Patient Presenting With Short Stature, Premature Ovarian Failure, and Osteoporosis.
Frontiers in geneticsCongenital enteropathies involving defects in enterocyte structure or differentiation.
Best practice & research. Clinical gastroenterologyThe human SKI complex regulates channeling of ribosome-bound RNA to the exosome via an intrinsic gatekeeping mechanism.
Molecular cellSensing of RNA stress by mTORC1 drives autoinflammation.
The Journal of clinical investigationCytoplasmic RNA quality control failure engages mTORC1-mediated autoinflammatory disease.
The Journal of clinical investigationA Case of Mild Trichohepatoenteric Syndrome With New Variant Mutation in SKIV2L Gene: Case Report.
CureusCase Report: Novel Compound-Heterozygous Variants of SKIV2L Gene that Cause Trichohepatoenteric Syndrome 2.
Frontiers in geneticsTricho-hepato-enteric syndrome: Retrospective multicenter experience in Saudi Arabia.
Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationCongenital Diarrhea and Enteropathies in Infants: Approach to Diagnosis.
Indian journal of pediatricsExpanding the clinical spectrum in trichohepatoenteric syndrome.
American journal of medical genetics. Part AA New Variant Mutation in SKIV2L Gene in Case of Trichohepatoenteric Syndrome.
Pediatric reportsThe spectrum of primary immunodeficiencies at a tertiary care hospital in Pakistan.
The World Allergy Organization journalSki3/TTC37 deficiency associated with trichohepatoenteric syndrome causes mitochondrial dysfunction in Drosophila.
FEBS lettersAn RNA Metabolism and Surveillance Quartet in the Major Histocompatibility Complex.
CellsA Novel TTC37 Mutation Causing Clinical Symptoms of Trichohepatoenteric Syndrome Such as Pyoderma Gangrenosum and Immunodeficiency Without Severe Diarrhea.
Journal of investigational allergology & clinical immunologyTricho-hepatic-enteric syndrome (THES) without intractable diarrhoea.
GeneEthanol lock and immunoglobulin load: Improving the clinical course of trichohepatoenteric syndrome.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyTrichohepatoenteric syndrome: A rare mutation in SKIV2L gene in the first Balkan reported case.
SAGE open medical case reportsCombined Immunodeficiency in Patients With Trichohepatoenteric Syndrome.
Frontiers in immunologyTricho-Hepato-Enteric Syndrome mutation update: Mutations spectrum of TTC37 and SKIV2L, clinical analysis and future prospects.
Human mutationGenetic and Structural Analysis of a SKIV2L Mutation Causing Tricho-hepato-enteric Syndrome.
Digestive diseases and sciencesA new mutation in the C-terminal end of TTC37 leading to a mild form of syndromic diarrhea/tricho-hepato-enteric syndrome in seven patients from two families.
American journal of medical genetics. Part AMissense mutation of TTC7A mimicking tricho-hepato-enteric (SD/THE) syndrome in a patient with very-early onset inflammatory bowel disease.
European journal of medical geneticsTricho-hepato-enteric syndrome with novel SKIV2L gene mutations: A case report.
MedicineGraft versus host disease in a pediatric multiple organ transplant recipient with trichohepatoenteric syndrome - a unique case report.
International journal of dermatologyTrichohepatoenteric Syndrome Presenting with Severe Infection and Later Onset Diarrhoea.
Journal of clinical immunologyThe RNA exosome and RNA exosome-linked disease.
RNA (New York, N.Y.)[A case of tricho-hepato-enteric syndrome].
Zhonghua er ke za zhi = Chinese journal of pediatricsExome sequencing identifies a novel TTC37 mutation in the first reported case of Trichohepatoenteric syndrome (THE-S) in South Africa.
BMC medical geneticsIBD-Like Features in Syndromic Diarrhea/Trichohepatoenteric Syndrome.
Journal of pediatric gastroenterology and nutritionTargeted next-generation sequencing identification of a novel missense mutation of the SKIV2L gene in a patient with trichohepatoenteric syndrome.
Molecular medicine reportsEmerging roles of the processing of nucleic acids and Toll-like receptors in innate immune responses to nucleic acids.
Journal of leukocyte biologyNovel mutations in SKIV2L and TTC37 genes in Malaysian children with trichohepatoenteric syndrome.
GeneIdentifying Mutations of the Tetratricopeptide Repeat Domain 37 (TTC37) Gene in Infants With Intractable Diarrhea and a Comparison of Asian and Non-Asian Phenotype and Genotype: A Global Case-report Study of a Well-Defined Syndrome With Immunodeficiency.
MedicineTrichohepatoenteric Syndrome or Syndromic Diarrhea-Report of Three Members in a Family, First Report from Iran.
Case reports in pathologyThe role of enterocyte defects in the pathogenesis of congenital diarrheal disorders.
Disease models & mechanismsThe localisation of the apical Par/Cdc42 polarity module is specifically affected in microvillus inclusion disease.
Biology of the cellTricho-hepato-enteric syndrome (THE-S): two cases and review of the literature.
European journal of pediatricsCorrigendum: Novel TTC37 Mutations in a Patient with Immunodeficiency without Diarrhea: Extending the Phenotype of Trichohepatoenteric Syndrome.
Frontiers in pediatricsExpanding phenotypic and allelic heterogeneity of tricho-hepato-enteric syndrome.
Journal of pediatric gastroenterology and nutritionNovel TTC37 Mutations in a Patient with Immunodeficiency without Diarrhea: Extending the Phenotype of Trichohepatoenteric Syndrome.
Frontiers in pediatricsAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Diarreia sindrômica.
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Comunidades
Grupos ativos de quem convive com esta doença aqui no Raras
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Case Report: Tricho-hepato-enteric syndrome in an infant presented with colorectal ulceration and severe respiratory superinfection.
- Reduced immunoglobulin requirement after dupilumab for atopic dermatitis in trichohepatoenteric syndrome.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology· 2026· PMID 41531377mais citado
- Hidden Aberrant Transcripts in TTC37 Cause Trichohepatoenteric Syndrome.
- A Case Report and Literature Review on Osteo-Oto-Hepato-Enteric Syndrome in Premature Infants Caused by UNC45A Deficiency.
- Trichohepatoenteric syndrome type 1: expanding the clinical spectrum of THES type 1 due to a homozygous variant in the SKIC3 gene.
- Trichohepatoenteric Syndrome: A Report of Two Children From Bahrain With a Novel Mutation and a Literature Review.
- PytheasDB: An open-access graphical database of clinical data on rare pediatric digestive diseases.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:84064(Orphanet)
- MONDO:0009105(MONDO)
- GARD:5258(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q56014636(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
