Document Detail


Fanconi-Bickel syndrome: report of life history and successful pregnancy in an affected patient.
MedLine Citation:
PMID:  21271664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fanconi–Bickel syndrome (FBS, OMIM #227810) is a rare autosomal recessive disorder of carbohydrate transport originally described in 1949 [Fanconi and Bickel(1949);Helv Paediatr Acta 4: 359–396]. FBS is caused by mutations in the glucose and galactose transporter gene SLC2A2 (HGNC ID11006) [Santeret al.(1997); Nat Genet 17: 324–326] and is characterized by hepatic glycogen accumulation with hepatomegaly, fasting hypoglycemia, short stature, impaired glucose tolerance, hyperlipidemia, and tubular nephropathy. Although the described complications would not seem to preclude fertility in FBS patients, there has been no report of reproduction in affected individuals to date. We have followed a female with FBS for at least 20 years. She received a clinical diagnosis in adolescence, with recent molecular confirmation of two mutations in trans in the SLC2A2 gene. She has had glucosuria, proteinuria, impaired tubular reabsorption of phosphate, osteopenia, and hypercholesterolemia throughout her life, without any documented episodes of hypoglycemia. Hepatomegaly was initially noticed in infancy and resolved in late adolescence. She became pregnant at 31 years of age, had gestational diabetes treated with diet, and delivered a healthy boy. She had impaired glucose tolerance after her pregnancy.Her adult height was at the lower end of her target height range, and she had evidence of localized osteopenia at the left distal radius on DXA scan. This report describes the clinical history of an affected individual and highlights the importance of continued follow-up in order to extend our understanding of the history of this rare metabolic disorder.
Authors:
Loren Pena; Joel Charrow
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-01-13
Journal Detail:
Title:  American journal of medical genetics. Part A     Volume:  155A     ISSN:  1552-4833     ISO Abbreviation:  Am. J. Med. Genet. A     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-28     Completed Date:  2011-05-20     Revised Date:  2011-10-31    
Medline Journal Info:
Nlm Unique ID:  101235741     Medline TA:  Am J Med Genet A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  415-7     Citation Subset:  IM    
Copyright Information:
© 2011 Wiley-Liss, Inc.
Affiliation:
The University of Chicago, Chicago, Illinois, USA.
Data Bank Information
Bank Name/Acc. No.:
OMIM/227810
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MeSH Terms
Descriptor/Qualifier:
Adult
Diabetes, Gestational / pathology
Fanconi Syndrome / blood,  genetics,  pathology,  physiopathology
Female
Glucose Tolerance Test
Glucose Transporter Type 2 / genetics*
Humans
Longitudinal Studies
Male
Phenotype*
Pregnancy
Pregnancy Outcome
Chemical
Reg. No./Substance:
0/Glucose Transporter Type 2; 0/SLC2A2 protein, human
Comments/Corrections
Comment In:
Am J Med Genet A. 2011 Oct;155A(10):2607   [PMID:  21910231 ]

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


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