[Wolfram syndrome. A new case report].
The WOLFRAM syndrome (SW) is a rare hereditary disorder described for the first time in 1938 as the coexistence of a diabetes mellitus and an optic atrophy to which join frequently a diabetes insipidus and a bilateral deafness. Several genetic studies are current to determine transmission mechanisms, physiopathology of the disorder to update a curative therapy. On the occasion of a new case report we remind the main characteristics of this syndrome. The SW is a rare neurodegenerative disorder characterized by the coexistence of diabetes mellitus, diabetes insipidus, optic atrophy and deafness. Several other manifestations are frequently associated: neurological, urologic and endocrinous abnormalities as well as growth troubles. Only diabetes mellitus and optic atrophy are compulsory for the diagnosis. This Syndrome is transmitted to the autosomic recessive mode. Mitochondrial heredity is in the course of study. The systematic practice of a cerebral IRM during a SW allows finding several malformative abnormalities of which the most typical is the agenesis of the post-pituitary gland. The prognosis of the affection is essentially conditioned by the evoluting complications of the uropathy and the diabetes mellitus. The treatment is symptomatic. Genetic therapy is in.
Bouslama
Kamel
K
Service Médecine Interne, CHU Mongi Slim La Marsa, Tunisie.
Naoui
Abderrahim
A
Rezgui
Lamia
L
Goucha
Samia
S
M'Rad
Skander
S
Ben Dridi
Mohamed
M
D000328:Adult; D003241:Consanguinity; D004272:DNA, Mitochondrial; D003937:Diagnosis, Differential; D005808:Genes, Recessive / Q000235:genetics; D015316:Genetic Therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011379:Prognosis; D014416:Tunisia; D014792:Visual Acuity; D014929:Wolfram Syndrome / Q000150:complications / Q000175:diagnosis* / Q000235:genetics*
D004272:DNA, Mitochondrial