Recurrent Hepatitis in Two Iranian Children: A Novel (Q166R) Mutation in EIF2AK3 Leading to Wolcott-Rallison Syndrome

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AuthorBabak Behnamen
AuthorMarjan Shakibaen
AuthorAli Ahanien
AuthorMaryam Razzaghy Azaren
OrcidMaryam Razzaghy Azar [0000-0002-0061-6732]en
Issued Date2013-06-01en
AbstractEarly-onset diabetes, liver dysfunction, growth retardation, spondyloepiphyseal dysplasia, and tendency to skeletal fractures due to osteopenia are characteristics of Wolcott-Rallison syndrome (WRS). Eukaryotic translation initiation factor 2α kinase (EIF2AK3) is the only known gene, which is responsible for this rare autosomal recessive disorder. Here, we report two siblings a girl and a boy with diabetes mellitus (DM) who presented in one and two months of age respectively. Recurrent self-limiting hepatitis developed later, and severe hepatic failure resulted in death of the first child. The second child visited was a 7.75 year old boy who had spondyloepiphyseal dysplasia and subclinical hypothyroidism besides DM and recurrent hepatitis. We suggested WRS for this patient, and it was confirmed by identification of a novel homozygous missense mutation (Q166R) in exon 3 of the EIF2AK3 gene. The aim of this report is to remind the possibility of WRS in isolated neonatal diabetes; while, the other clinical manifestations of this syndrome including its major symptom of recurrent hepatitis may appear later.en
DOIhttps://doi.org/10.5812/hepatmon.10124en
URIhttps://brieflands.com/journals/hepatmon/articles/15265en
KeywordWolcott-Rallison Syndromeen
KeywordDiabetes Mellitusen
KeywordSpondyloepiphyseal Dysplasiaen
PublisherBrieflandsen
TitleRecurrent Hepatitis in Two Iranian Children: A Novel (Q166R) Mutation in EIF2AK3 Leading to Wolcott-Rallison Syndromeen
TypeCase Reporten

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