Adipsic hypernatremia and bilateral renal stones in a child with ectrodactyly-ectodermal dysplasia-cleft lip-palate

R M Shawky1, S M Elsayed, D I Sadik

  • 1Pediatrics Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. shawkyrabah@yahoo.com

Genetic Counseling (Geneva, Switzerland)
|August 5, 2010
PubMed

Insights

Ectrodactyly, ectodermal dysplasia, and orofacial clefts (EEC) syndrome can present with unusual symptoms. This study details a patient with EEC syndrome experiencing adipsic hypernatremia and renal stones, previously unreported manifestations.

Area of Science:

  • Genetics
  • Endocrinology
  • Nephrology

Background:

  • Ectrodactyly, ectodermal dysplasia, and orofacial clefts (EEC) syndrome is an autosomal dominant disorder.
  • It is characterized by variable expression of ectrodactyly, ectodermal dysplasia, and orofacial clefts.

Observation:

  • This report describes a patient diagnosed with EEC syndrome.
  • The patient presented with adipsic hypernatremia and bilateral renal stones.
  • Notably, no brain anomalies were observed in this patient.

Findings:

  • The co-occurrence of adipsic hypernatremia and bilateral renal stones in EEC syndrome is reported for the first time.
  • These manifestations expand the known clinical spectrum of EEC syndrome.

Implications:

  • This case broadens the understanding of EEC syndrome's phenotypic variability.
  • It highlights the importance of considering endocrine and renal evaluations in patients with EEC syndrome.
  • Further research may elucidate the underlying mechanisms connecting EEC syndrome to these novel manifestations.

Related Concept Videos

Renal Tubule and Collecting Duct01:24

Renal Tubule and Collecting Duct

The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Diabetes Insipidus II: Pathophysiology01:22

Diabetes Insipidus II: Pathophysiology

Normally, water balance is maintained through three interconnected mechanisms: the hypothalamic thirst center, the synthesis and release of antidiuretic hormone (ADH, or vasopressin), and the kidneys' responsiveness to this hormone. ADH is synthesized in the hypothalamus, released from the posterior pituitary, and acts on the distal nephron, allowing water reabsorption and concentrated urine production.Diabetes Insipidus and Its TypesIn diabetes insipidus (DI), this regulatory system is...
Diabetes Insipidus I: Introduction01:29

Diabetes Insipidus I: Introduction

Definition Diabetes insipidus is a disorder marked by the production of large amounts of dilute urine because of impaired vasopressin production, release, or kidney response. The lack of effective vasopressin action limits water reabsorption in the renal collecting ducts, which leads to excessive urinary water loss and intense thirst.Clinical PresentationIndividuals with diabetes insipidus report persistent thirst and very high urine output. In severe cases, fluid intake can reach up to 20...
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Urinary Tract Calculi I: Introduction01:28

Urinary Tract Calculi I: Introduction

Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...