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DGAT1 mutation in two sisters with failure to thrive: a case report
M Agustina Valentini1, Valeria A Fedrizzi1, Andrea G Krochik2
1Intermediate-Medium Care Unit; Hospital de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, City of Buenos Aires, Argentina.
Insights
Congenital diarrhea caused by diacylglycerol O-acyltransferase 1 (DGAT1) gene mutations is rare. This study identifies a novel Latin American case of DGAT1 deficiency in two sisters, expanding knowledge of this genetic enteropathy.
Area of Science:
- Genetics
- Pediatric Gastroenterology
- Molecular Biology
Background:
- Congenital diarrhea and enteropathies (CODEs) represent a group of rare monogenic disorders.
- Diacylglycerol O-acyltransferase 1 (DGAT1) gene mutations cause a rare enzyme disorder leading to severe, early-onset chronic diarrhea.
Observation:
- Two sisters presented with chronic diarrhea, vomiting, growth retardation, and hypoalbuminemia in early childhood.
- Both patients were diagnosed with a compound heterozygous DGAT1 mutation.
Findings:
- The identified DGAT1 mutation, previously documented in Asian populations, is reported for the first time in Latin American patients.
- This finding highlights the genetic diversity and geographic spread of DGAT1 mutations.
Implications:
- These cases contribute to a broader understanding of congenital diarrhea and DGAT1-related enteropathies.
- Further research into DGAT1 mutations can improve diagnosis and management strategies for affected children globally.
Abstract:
Congenital diarrhea and enteropathies (CODEs) are a group of monogenic disorders that have been described in recent years. Within the CODEs, the mutation in the diacylglycerol O-acyltransferase 1 (DGAT1) gene is a rare enzyme disorder associated with severe, early-onset chronic diarrhea. Our objective is to describe the case of 2 sisters who consulted for chronic diarrhea, growth retardation, vomiting, and hypoalbuminemia in early childhood. A compound heterozygous DGAT1 mutation was found in both patients. This mutation was previously described in the Asian population; however, these are the first 2 patients to show this mutation in the Latin American population. These 2 cases may expand our knowledge about congenital diarrhea in general and the clinical characteristics of patients with DGAT1 mutations in particular.
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