Document Detail


Congenital cataracts in two siblings with Wolfram syndrome.
MedLine Citation:
PMID:  21067485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Wolfram syndrome is characterized by optic atrophy, insulin dependent diabetes mellitus, diabetes insipidus and deafness. There are several other associated conditions reported in the literature, but congenital or early childhood cataracts are not among them.
MATERIALS AND METHODS: Observational case series with confirmatory genetic analysis.
RESULTS: A pair of siblings, followed over 17 years, who manifest congenital or early childhood cataracts, diabetes insipidus, diabetes mellitus, optic atrophy, and deafness. They are both compound heterozygotes for mutations (V415 deletion and A684V substitution) in the WFS1 gene. Their father has congenital sensorineural hearing loss and developed optic atrophy. He is heterozygous for A684V in WFS1.
CONCLUSIONS: Wolfram syndrome should be in the differential diagnosis of genetic syndromes associated with congenital and early childhood cataracts. Here, we report on a mother who is a phenotypically normal carrier of an autosomal recessive Wolfram syndrome gene, and a father who has some of the findings of the syndrome and carries a single mutation that appears to be responsible for his hearing loss and optic atrophy. Their 2 children are compound heterozygotes and manifest the full Wolfram syndrome, in addition to cataracts.
Authors:
Rebecca B Mets; Sarah B Emery; Marci M Lesperance; Marilyn B Mets
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmic genetics     Volume:  31     ISSN:  1744-5094     ISO Abbreviation:  Ophthalmic Genet.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-11     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9436057     Medline TA:  Ophthalmic Genet     Country:  England    
Other Details:
Languages:  eng     Pagination:  227-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Northwestern University, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Cataract / congenital*
Child, Preschool
Diagnosis, Differential
Female
Hearing Loss, Sensorineural / congenital
Heterozygote
Humans
Infant
Male
Membrane Proteins / genetics*
Mutation*
Optic Atrophy / genetics
Siblings
Visual Acuity
Wolfram Syndrome / diagnosis,  genetics*
Grant Support
ID/Acronym/Agency:
DC00161/DC/NIDCD NIH HHS
Chemical
Reg. No./Substance:
0/Membrane Proteins; 0/wolframin protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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