title: Impaired glucose tolerance leads to delayed diagnosis of Alström syndrome.
abstract: OBJECTIVE
  To emphasis the need for timely diagnosis of Alström syndrome.
  
  
  METHODS
  We report a case of late-detected Alström syndrome in a boy 15 1/2 years of age who was admitted because of poor wound healing and hyperglycemia.
  
  
  RESULTS
  Diagnosis was made and the patient's impaired glucose tolerance improved by diet.
  
  
  CONCLUSIONS
  Regular follow-ups are needed to recognize and possibly prevent late-appearing complications.
authors.affiliation: Olgahospital, Department of Pediatrics, Stuttgart, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Holder
authors.forename: W
authors.initials: W
authors.lastname: Hecker
authors.forename: G
authors.initials: G
authors.lastname: Gilli
mesh_terms: D000293:Adolescent; D002784:Cholesterol / Q000097:blood; D003638:Deafness / Q000175:diagnosis*; D003937:Diagnosis, Differential; D019270:Fructosamine; D018149:Glucose Intolerance / Q000178:diet therapy; D006442:Glycated Hemoglobin / Q000032:analysis; D006595:Hexosamines / Q000032:analysis; D006801:Humans; D006943:Hyperglycemia; D007006:Hypogonadism; D008297:Male; D009765:Obesity; D012162:Retinal Degeneration / Q000175:diagnosis*; D013577:Syndrome; D014280:Triglycerides / Q000097:blood; D014945:Wound Healing
chemical_list: D002784:Cholesterol; D019270:Fructosamine; D006442:Glycated Hemoglobin; D006595:Hexosamines; D014280:Triglycerides