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WOLCOTT-RALLISON SYNDROME

WOLCOTT-RALLISON SYNDROME
WRS; EPIPHYSEAL DYSPLASIA, MULTIPLE, WITH EARLY-ONSET DIABETES MELLITUS
226980
OMIM = Online Mendelian Inheritance of Men
1667
Eukaryotic translation initiation factor 2-alpha kinase 3
2p11.2
E13
very rare (~60 cases)
autosomal recessive
mutation in the EIF2AK3 gene
multisystem disorder with onset of diabetes in the neonatal period or early infancy [Uca A et al. 2016]
Laboratory findingsAdipic acid inc (urine)
    3-Hydroxysebacic acid inc (urine)
    D-Glucose inc (blood)
    Ketone bodies (urine) inc (urine)
Symptomsdiabetes mellitus
epiphyseal dysplasia
skeletal changes, skeletal abnormalities
    early death
    hemolysis
    hepatomegaly (large liver)
    hyperglycemia
    hypoaldosteronism
    infections (severe or recurrent)
    ketosis, ketoacidosis
    liver failure
    microcephaly (<2 SD for age)
    multicystic dysplastic kidneys
    neutropenia (decreased neutrophils)
    onset, childhood
    onset, infancy
    onset, neonatal
    osteoporosis
    pancreatic insufficiency
    renal failure, acute/chronic
    short stature