The neonatal onset diabetes mellitus of Chinese neonate with congenital generalized lipodystrophy 2: a case report

被引:2
作者
Yang, Yuan [1 ]
Ma, Li [1 ]
Sun, Jingjing [1 ]
Gong, Xiaohui [1 ]
Cai, Cheng [1 ]
Hong, Wenchao [1 ]
机构
[1] Shanghai Jiao Tong Univ, Shanghai Childrens Hosp, Dept Neonatol, Shanghai 200062, Peoples R China
关键词
Congenital generalized lipodystrophy; Neonate; Metabolic disorders; BSCL2; Case report; SEIPIN; MUTATION;
D O I
10.1186/s12902-022-00992-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Congenital generalized lipodystrophy (CGL) is a clinically heterogeneous disorder characterized by near total absence of adipose tissue along with metabolic complications. Diabetes mellitus developed from CGL usually present between ages 15 and 20 years, and there are few reports in neonate. Case presentation In this report, we described a rare clinical presentation of CGL in a 12-day-old Chinese female neonates with hyperglycemia, hyperlipidemia, and subsequently appeared diabetes, hepatomegaly and fatty liver. The two clinical-exome sequencing identified heterozygous null mutations (c.793C > T and c.565G > T) in BSCL2 gene which was inherited from father and mother respectively. To date, it was the firstly reported CGL patient with neonatal onset diabetes. The neonate was treated with antibiotic, insulin and deeply hydrolyzed formula milk to significantly decrease FBG and serum trigylcerides levels. Conclusions Our case report analyzes the causes of early onset diabetes may relate with the locus of BSCL2 gene mutations and infection induction. It also suggests the importance of early identification, genetic analysis, and symptomatic treatment in the CGL, which are essential for improving the prognosis of children.
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页数:5
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