Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis

BackgroundMaturity-onset diabetes of the young 5 (MODY5), a rare diabetes syndrome of young adults, is associated with variants in hepatocyte nuclear factor 1B (HNF1B) gene.Case PresentationWe reported a case of MODY5, which presented with diabetic ketosis, multiple renal cysts, and hypokalemia. In...

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Main Authors: Shenghui Ge, Mengge Yang, Wenfeng Gong, Wenzhe Chen, Jianjun Dong, Lin Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.917819/full
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author Shenghui Ge
Mengge Yang
Mengge Yang
Wenfeng Gong
Wenzhe Chen
Jianjun Dong
Lin Liao
Lin Liao
author_facet Shenghui Ge
Mengge Yang
Mengge Yang
Wenfeng Gong
Wenzhe Chen
Jianjun Dong
Lin Liao
Lin Liao
author_sort Shenghui Ge
collection DOAJ
description BackgroundMaturity-onset diabetes of the young 5 (MODY5), a rare diabetes syndrome of young adults, is associated with variants in hepatocyte nuclear factor 1B (HNF1B) gene.Case PresentationWe reported a case of MODY5, which presented with diabetic ketosis, multiple renal cysts, and hypokalemia. In this case, the HNF1B score was estimated as 13 and a heterozygous variant of HNF1B in exon 4 (c.826C>T, p.Arg276*) was identified through Sanger sequencing.ConclusionsMultiple renal cysts and youth-onset diabetes are common manifestations in patients with HNF1B mutations, and insufficient insulin secretion may be a potential cause of diabetic ketosis in MODY5.
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spelling doaj.art-423b9d7a9e13418e9299647eb0ad74542022-12-22T03:41:35ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-08-011310.3389/fendo.2022.917819917819Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosisShenghui Ge0Mengge Yang1Mengge Yang2Wenfeng Gong3Wenzhe Chen4Jianjun Dong5Lin Liao6Lin Liao7Department of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Ji-nan, ChinaDepartment of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Ji-nan, ChinaCheeloo College of Medicine, Shandong University, Department of Endocrinology and Metabology, Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational medicine, Shandong Institute of Nephrology, Ji-nan, ChinaDepartment of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Ji-nan, ChinaDepartment of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Ji-nan, ChinaDivision of Endocrinology, Department of Internal Medicine, Qilu Hospital of Shandong University, Ji-nan, ChinaDepartment of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Ji-nan, ChinaCheeloo College of Medicine, Shandong University, Department of Endocrinology and Metabology, Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational medicine, Shandong Institute of Nephrology, Ji-nan, ChinaBackgroundMaturity-onset diabetes of the young 5 (MODY5), a rare diabetes syndrome of young adults, is associated with variants in hepatocyte nuclear factor 1B (HNF1B) gene.Case PresentationWe reported a case of MODY5, which presented with diabetic ketosis, multiple renal cysts, and hypokalemia. In this case, the HNF1B score was estimated as 13 and a heterozygous variant of HNF1B in exon 4 (c.826C>T, p.Arg276*) was identified through Sanger sequencing.ConclusionsMultiple renal cysts and youth-onset diabetes are common manifestations in patients with HNF1B mutations, and insufficient insulin secretion may be a potential cause of diabetic ketosis in MODY5.https://www.frontiersin.org/articles/10.3389/fendo.2022.917819/fullMODY5HNF1Bcasemutationdiagnosisrenal cysts and diabetes syndrome
spellingShingle Shenghui Ge
Mengge Yang
Mengge Yang
Wenfeng Gong
Wenzhe Chen
Jianjun Dong
Lin Liao
Lin Liao
Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis
Frontiers in Endocrinology
MODY5
HNF1B
case
mutation
diagnosis
renal cysts and diabetes syndrome
title Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis
title_full Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis
title_fullStr Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis
title_full_unstemmed Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis
title_short Case Report: A case of HNF1B mutation patient with first presentation of diabetic ketosis
title_sort case report a case of hnf1b mutation patient with first presentation of diabetic ketosis
topic MODY5
HNF1B
case
mutation
diagnosis
renal cysts and diabetes syndrome
url https://www.frontiersin.org/articles/10.3389/fendo.2022.917819/full
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