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An Indian girl with Fanconi-Bickel syndrome without SLC2A2 gene mutation
Devi Dayal1, Parag Dekate1, Sheetal Sharda1
1Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
Fanconi-Bickel syndrome is a rare autosomal-recessive disorder caused by defects in the facilitative glucose transporter 2 (GLUT2) gene. It is characterized by hepatorenal glycogen accumulation, tubular nephropathy and impaired utilization of glucose and galactose. In this communication, we present the case of a 5-year-old girl who presented with deforming rickets and massive hepatomegaly. Liver biopsy confirmed the diagnosis of glycogen storage disorder. However, the mutation of the SLC2A2 (GLUT2) gene was not found. Mutation negative patients with characteristic Fanconi-Bickel syndrome phenotype suggest additional underlying mechanisms that need exploration.
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