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Early-onset diabetes mellitus and neurodevelopmental retardation: the first Greek case of Wolcott-Rallison syndrome.

TitleEarly-onset diabetes mellitus and neurodevelopmental retardation: the first Greek case of Wolcott-Rallison syndrome.
Publication TypeJournal Article
Year of Publication2014
AuthorsTriantafyllou, P., Vargiami E., Vagianou I., Badouraki M., Julier C., & Zafeiriou D. I.
JournalJ Pediatr Endocrinol Metab
Volume27
Issue9-10
Pagination967-70
Date Published2014 Sep
ISSN2191-0251
KeywordsAdolescent, Child, Child, Preschool, Diabetes Mellitus, Type 1, eIF-2 Kinase, Epiphyses, Humans, Male, Mutation, Osteochondrodysplasias
Abstract

Wolcott-Rallison syndrome (WRS) is a very rare genetic disorder, which is transmitted by autosomal recessive inheritance and results from mutations in the gene encoding the eukaryotic initiation factor 2-α kinase-3 (EIF2AK3). The cardinal features of the syndrome include early-onset insulin-dependent diabetes mellitus, multiple epiphyseal dysplasia, and growth retardation. We present the case of a 13-year-old Greek boy with a known history of infancy-onset diabetes mellitus and was found to have WRS at the age of 4 years. He presented with acute liver and renal insufficiency in addition to skeletal dysplasia and neurodevelopmental retardation. The clinical suspicion of WRS was confirmed by molecular analysis of the EIF2AK3 gene. The patient was found to be a compound heterozygote with two different novel mutations (c.2776C>T, p.R902X and c.3038A>G, p.Y989C). The current patient is one of the longer survivors.

DOI10.1515/jpem-2013-0469
Alternate JournalJ. Pediatr. Endocrinol. Metab.
PubMed ID24859506

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