Shwachman-Diamond syndrome in a Mexican family.
Shwachman-Diamond Syndrome (SDS) is an inherited condition with multisystemic abnormalities including pancreatic exocrine dysfunction, neutropenia, short stature, and skeletal abnormalities. In this report, we describe the case of a 14-year-old female with a history of neutropenia, pancreatic exocrine insufficiency and pancreatic endocrine sufficiency, pancreatic lipomatosis (10), and the development of myeloid leukemia. Postmortem examination revealed a high probability of SDS. We also describe the clinical findings in the patient's six siblings, suggesting this as a familial form of SDS. Because the gene(s) responsible for this syndrome have not yet been identified, genetic confirmation is not yet possible. This is the first report in the literature of a Mexican family with probable SDS.
Belkind-Gerson
J
J
Departamento de Gastroenterología, Hospital del Niño Morelense Macaria Than de Rivapalacio, Cuernavaca, Morelos, Mexico. cuernavacajaime@yahoo.com
Ontiveros-Nevares
P
P
Ocampo-Roosens
V
V
Sandoval-Juárez
D
D
D000015:Abnormalities, Multiple / Q000235:genetics / Q000473:pathology*; D000208:Acute Disease; D000293:Adolescent; D001853:Bone Marrow / Q000473:pathology; D001842:Bone and Bones / Q000002:abnormalities*; D002100:Cachexia / Q000209:etiology*; D002114:Calcinosis / Q000209:etiology / Q000473:pathology; D002446:Celiac Disease / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000209:etiology; D004392:Dwarfism / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D007517:Isoamylase / Q000172:deficiency*; D007951:Leukemia, Myeloid / Q000209:etiology; D008103:Liver Cirrhosis / Q000209:etiology; D008297:Male; D008800:Mexico; D009503:Neutropenia / Q000235:genetics / Q000473:pathology; D009748:Nutrition Disorders / Q000150:complications; D010179:Pancreas / Q000002:abnormalities* / Q000473:pathology; D011203:Poverty; D012772:Shock, Septic / Q000209:etiology; D013577:Syndrome; D014357:Trypsin / Q000172:deficiency*
D007517:Isoamylase; D014357:Trypsin