Wolfram syndrome: A rare case report

We present an autopsy case of a 19 year old male admitted for breathlessness and oliguria. He was diabetic since 7 years of age and was on insulin. Patient was on testosterone and anti hypertensives. He was diagnosed of hypocontractile bladder and congenital bilateral megaureter with vesico-ureteric...

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Main Authors: Anitha Padmanabhan, Aditi Parihar, Urmi S C. Vartak, Nitin M Gadgil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2019;volume=62;issue=3;spage=477;epage=480;aulast=Padmanabhan
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author Anitha Padmanabhan
Aditi Parihar
Urmi S C. Vartak
Nitin M Gadgil
author_facet Anitha Padmanabhan
Aditi Parihar
Urmi S C. Vartak
Nitin M Gadgil
author_sort Anitha Padmanabhan
collection DOAJ
description We present an autopsy case of a 19 year old male admitted for breathlessness and oliguria. He was diabetic since 7 years of age and was on insulin. Patient was on testosterone and anti hypertensives. He was diagnosed of hypocontractile bladder and congenital bilateral megaureter with vesico-ureteric reflux 2 years back. History of hemiparesis 2 years back. CT scan of the brain showed a right fronto- parietal healed infarct. At autopsy, bilateral kidneys showed coarse granularity and scarring. Pelvicalyceal system and both ureters were dilated. A right sided intrabdominal testes was identified. On histology, kidney showed features of diabetic nephropathy and pancreas showed decreased number of islet cells. Correlating the clinical, laboratory and autopsy parameters, our case satisfies the EURO-WABB criteria (1major+2minor) for diagnosis of Wolfram Syndrome, even though genetic confirmation could not be done.[1],[2]
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spelling doaj.art-c02a2228f28c4367b7a8308d28fb991d2022-12-21T23:51:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292019-01-0162347748010.4103/IJPM.IJPM_397_18Wolfram syndrome: A rare case reportAnitha PadmanabhanAditi PariharUrmi S C. VartakNitin M GadgilWe present an autopsy case of a 19 year old male admitted for breathlessness and oliguria. He was diabetic since 7 years of age and was on insulin. Patient was on testosterone and anti hypertensives. He was diagnosed of hypocontractile bladder and congenital bilateral megaureter with vesico-ureteric reflux 2 years back. History of hemiparesis 2 years back. CT scan of the brain showed a right fronto- parietal healed infarct. At autopsy, bilateral kidneys showed coarse granularity and scarring. Pelvicalyceal system and both ureters were dilated. A right sided intrabdominal testes was identified. On histology, kidney showed features of diabetic nephropathy and pancreas showed decreased number of islet cells. Correlating the clinical, laboratory and autopsy parameters, our case satisfies the EURO-WABB criteria (1major+2minor) for diagnosis of Wolfram Syndrome, even though genetic confirmation could not be done.[1],[2]http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2019;volume=62;issue=3;spage=477;epage=480;aulast=PadmanabhanAutopsyDIDMOADWolfram syndrome
spellingShingle Anitha Padmanabhan
Aditi Parihar
Urmi S C. Vartak
Nitin M Gadgil
Wolfram syndrome: A rare case report
Indian Journal of Pathology and Microbiology
Autopsy
DIDMOAD
Wolfram syndrome
title Wolfram syndrome: A rare case report
title_full Wolfram syndrome: A rare case report
title_fullStr Wolfram syndrome: A rare case report
title_full_unstemmed Wolfram syndrome: A rare case report
title_short Wolfram syndrome: A rare case report
title_sort wolfram syndrome a rare case report
topic Autopsy
DIDMOAD
Wolfram syndrome
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2019;volume=62;issue=3;spage=477;epage=480;aulast=Padmanabhan
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