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Multiple endocrinopathies in an infant with fatal neurodegenerative disease.

Authors
  • Shankar, R R
  • Haider, A
  • Garvey, W T
  • Freidenberg, G R
Type
Published Article
Journal
American journal of medical genetics
Publication Date
Mar 31, 1997
Volume
69
Issue
3
Pages
271–279
Identifiers
PMID: 9096756
Source
Medline
License
Unknown

Abstract

We report on a male infant with congenital hypoparathyroidism who developed primary hypothyroidism at 3 months and insulin-dependent diabetes mellitus at 25 months. He had evidence of widespread and progressive neurologic dysfunction characterized by severe developmental delay, blindness, deafness, seizures, atrophy of the cerebellar and frontal lobes, and elevated spinal fluid protein. Also noted were renal hypoplasia, hyporeninemic hypoaldosteronism, chronic anemia, persistent elevation of liver transaminase levels, abnormal intraventricular cardiac conduction, reduction in numbers of helper T-cells, and distinctive facial anomalies. The child died of multiorgan failure at 29 months. A mitochondrial basis for the syndrome was considered but a molecular mechanism has, as yet, not been identified.

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