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Published on: April 26, 2019
Hirschsprung's disease with infantile nephropathic cystinosis
Deepak Mittal1, Arvind Bagga2, Radhika Tandon3
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Insights
This report details a rare case of a 3-year-old boy with both Hirschsprung's disease and infantile nephropathic cystinosis. The co-occurrence of these distinct genetic conditions is coincidental and previously undocumented in medical literature.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Nephrology
- Medical Genetics
Background:
- Hirschsprung's disease is a congenital disorder affecting the large intestine.
- Infantile nephropathic cystinosis is a rare inherited metabolic disorder affecting the kidneys.
- Both conditions have distinct genetic and etiological bases.
Observation:
- A 3-year-old boy presented with a diagnosis of Hirschsprung's disease.
- The same patient was also diagnosed with infantile nephropathic cystinosis.
- This dual diagnosis is highly unusual given the separate origins of the diseases.
Findings:
- The co-occurrence of Hirschsprung's disease and infantile nephropathic cystinosis in a single patient is reported.
- The association between these two distinct conditions is considered incidental.
- This represents the first reported case in the English medical literature.
Implications:
- Highlights the importance of considering co-occurring rare diseases in pediatric patients.
- May prompt further investigation into potential, albeit rare, shared or interacting pathways.
- Contributes to the understanding of rare disease associations in clinical practice.
Abstract:
The case of a 3-year-old boy diagnosed to have Hirschsprung's disease with infantile nephropathic cystinosis is being reported. Both these conditions are etiologically and genetically different as per current understanding and available information. The association is incidental and has not reported before in the English literature.
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