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The prevalence of Wolfram syndrome in a paediatric population with diabetes
Agnieszka Zmysłowska, Maciej Borowiec, Wojciech Fendler
1Wojciech.Mlynarski@umed.lodz.pl.
Insights
Wolfram syndrome (WFS) is a rare genetic disorder affecting children with diabetes. In Poland, WFS affects 0.12% of diabetic children, making it significantly less common than other monogenic diabetes forms.
Area of Science:
- Endocrinology
- Genetics
- Pediatrics
Background:
- Wolfram syndrome (WFS) is the most common syndromic form of monogenic diabetes.
- WFS is characterized by diabetes mellitus and optic atrophy, often with other associated disorders.
Purpose of the Study:
- To determine the prevalence of Wolfram syndrome in the Polish pediatric diabetic population.
- To compare the frequency of WFS with other monogenic diabetes types in children.
Main Methods:
- Retrospective analysis of epidemiological data from Polish diabetic children aged 0-18 years (2005-2011).
- Data linkage between the EURO-WABBPoland Project and the PolPeDiab Registry for confirmed genetic diagnoses.
- Calculation of prevalence based on diagnosed cases within the study cohort.
Main Results:
- Genetic diagnosis of Wolfram syndrome was confirmed in 13 pediatric patients in Poland.
- The overall prevalence of Wolfram syndrome among Polish children with diabetes was estimated at 0.12% (95% CI: 0.04-0.34%).
- Three WFS cases were identified within the specific regions with complete pediatric diabetes data.
Conclusions:
- Wolfram syndrome is significantly less frequent than other monogenic diabetes forms (MODY, neonatal diabetes) in Polish children.
- WFS is estimated to be 26 to 35 times less common than MODY and neonatal diabetes in this population.
Introduction:
Wolfram syndrome (WFS) is the most frequent syndromic form of monogenic diabetes coexisting with optic atrophy and many other disorders. The aim of this study was to estimate the prevalence of Wolfram syndrome among children with diabetes in Poland.
Material And Methods:
These calculations were performed among Polish diabetic children, aged 0-18 years, from three administrative regions between January 2005 and December 2011. Epidemiological data was obtained by matching the results from the EURO-WABBPoland Project and the PolPeDiab Registry.
Results:
Throughout the study period, we confirmed genetic diagnosis of Wolfram syndrome in 13 patients from Poland. Three patients originated from the studied regions with complete epidemiological data on paediatric diabetes. The total number of patients with diagnosed diabetes in the study equalled 2,568 cases. The prevalence of Wolfram syndrome among Polish children with diabetes is 0.12% (95% Confidence Interval 0.04-0.34%).
Conclusions:
We estimate that Wolfram syndrome is: 26 to 35 times less frequent than monogenic diabetes (MODY and neonatal diabetes) in the Polish paediatric population.
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