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Fanconi-Bickel syndrome
Sunil Karande1, Nilesh Kumbhare, Madhuri Kulkarni
1Developmental Clinic, Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai 400 022, Maharashtra, India. karandesunil@yahoo.com
Insights
This report details the first Indian case of Fanconi-Bickel syndrome, a rare glycogen storage disease. The patient, a 17-month-old girl, exhibited growth failure, enlarged liver, and bone abnormalities.
Area of Science:
- Biochemistry
- Pediatrics
- Genetics
Background:
- Fanconi-Bickel syndrome (GSB) is a rare autosomal recessive metabolic disorder.
- It is caused by mutations in the GLUT10 gene, affecting glucose transport.
- GSB is characterized by impaired glucose and galactose metabolism.
Observation:
- A 17-month-old Indian female presented with severe growth retardation and abdominal distention.
- Clinical signs included a distinctive "doll-like" facial appearance, massive hepatomegaly, and rickets.
- Proximal renal tubular dysfunction and hypophosphatemic rickets were identified.
Findings:
- Liver biopsy confirmed significant glycogen accumulation within hepatocytes.
- Laboratory results indicated severe hypophosphatemia and proximal renal tubular dysfunction.
- The case represents the first documented instance of Fanconi-Bickel syndrome in India.
Implications:
- This case highlights the importance of recognizing GSB in infants with failure to thrive and metabolic derangements.
- Early diagnosis and management can potentially mitigate long-term complications.
- Further research into GSB genetics and treatment strategies in diverse populations is warranted.
Abstract:
We present here the first case of Fanconi-Bickel syndrome, a rare type of glycogen storage disease, from India. A 17-month-old female child presented with severe growth retardation and abdominal distention. Clinical examination revealed a "doll-like" face, massive hepatomegaly, and rickets. Laboratory investigations confirmed severe hypophosphatemic rickets and proximal renal tubular dysfunction. Liver biopsy showed glycogen accumulation in the hepatocytes.
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