Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings

Wolcott-Rallison syndrome (WRS) is an autosomal recessive disease, characterized by neonatal or early-onset non-autoimmune insulin-dependent diabetes. WRS, although rare, is recognized to be the most frequent cause of neonatal-onset diabetes. The majority of reported patients are from consanguineous...

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Main Authors: Siham Al-Sinani, Saif Al-Yaarubi, SW Sharef, Fathyia Al-Murshedi, Watfa Al-Maamari
Format: Article
Language:English
Published: Oman Medical Specialty Board 2015-03-01
Series:Oman Medical Journal
Subjects:
Online Access:http://www.omjournal.org/fultext_PDF.aspx?DetailsID=634&type=fultext
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author Siham Al-Sinani
Saif Al-Yaarubi
SW Sharef
Fathyia Al-Murshedi
Watfa Al-Maamari
author_facet Siham Al-Sinani
Saif Al-Yaarubi
SW Sharef
Fathyia Al-Murshedi
Watfa Al-Maamari
author_sort Siham Al-Sinani
collection DOAJ
description Wolcott-Rallison syndrome (WRS) is an autosomal recessive disease, characterized by neonatal or early-onset non-autoimmune insulin-dependent diabetes. WRS, although rare, is recognized to be the most frequent cause of neonatal-onset diabetes. The majority of reported patients are from consanguineous families. Several mutations with variable expression of the syndrome are reported. Here we describe a six-year-old boy with WRS who was evaluated at Sultan Qaboos University Hospital and was found to have a novel homozygous nonsense mutation in the EIF2AK3 gene. His younger sister also had WRS but with milder expression. The mutation exhibited different clinical characteristics in the siblings proving that WRS patients phenotypic variability correlates poorly to genotype. This is the first case report of two Omani children with WRS and a report of a novel mutation.
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spelling doaj.art-99228da7c8564ce2aa5646c6b8e47f012022-12-21T17:34:30ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042015-03-0130213814110.5001/omj.2015.29Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani SiblingsSiham Al-Sinani0Saif Al-Yaarubi1SW Sharef2Fathyia Al-Murshedi3Watfa Al-Maamari4Department of Child Health, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Child Health, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Child Health, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Genetics, Sultan Qaboos University, Muscat, Oman.Department of Child Health, Sultan Qaboos University Hospital, Muscat, OmanWolcott-Rallison syndrome (WRS) is an autosomal recessive disease, characterized by neonatal or early-onset non-autoimmune insulin-dependent diabetes. WRS, although rare, is recognized to be the most frequent cause of neonatal-onset diabetes. The majority of reported patients are from consanguineous families. Several mutations with variable expression of the syndrome are reported. Here we describe a six-year-old boy with WRS who was evaluated at Sultan Qaboos University Hospital and was found to have a novel homozygous nonsense mutation in the EIF2AK3 gene. His younger sister also had WRS but with milder expression. The mutation exhibited different clinical characteristics in the siblings proving that WRS patients phenotypic variability correlates poorly to genotype. This is the first case report of two Omani children with WRS and a report of a novel mutation.http://www.omjournal.org/fultext_PDF.aspx?DetailsID=634&type=fultextWolcott-Rallison syndromePermanent Neonatal Diabetes Mellitus; OsteochondrodysplasiaPermanent Neonatal Diabetes MellitusOsteochondrodysplasia
spellingShingle Siham Al-Sinani
Saif Al-Yaarubi
SW Sharef
Fathyia Al-Murshedi
Watfa Al-Maamari
Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings
Oman Medical Journal
Wolcott-Rallison syndrome
Permanent Neonatal Diabetes Mellitus; Osteochondrodysplasia
Permanent Neonatal Diabetes Mellitus
Osteochondrodysplasia
title Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings
title_full Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings
title_fullStr Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings
title_full_unstemmed Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings
title_short Novel Mutation in Wolcott–Rallison Syndrome with Variable Expression in Two Omani Siblings
title_sort novel mutation in wolcott rallison syndrome with variable expression in two omani siblings
topic Wolcott-Rallison syndrome
Permanent Neonatal Diabetes Mellitus; Osteochondrodysplasia
Permanent Neonatal Diabetes Mellitus
Osteochondrodysplasia
url http://www.omjournal.org/fultext_PDF.aspx?DetailsID=634&type=fultext
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