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Shwachman-Diamond syndrome (SDS) is a rare inherited disorder. Early ichthyosis and failure to thrive in infants may indicate SDS, alongside other symptoms.

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Area of Science:

  • Genetics and rare diseases
  • Pediatric hematology
  • Dermatology

Background:

  • Shwachman-Diamond syndrome (SDS) is an inherited bone marrow failure disorder.
  • It is defined by pancreatic exocrine dysfunction, cytopenia, and skeletal abnormalities.

Observation:

  • A 5-month-old boy with SDS presented with neonatal generalized ichthyosis.
  • This skin condition evolved into eczematous eruptions.
  • Severe failure to thrive was also noted.

Findings:

  • The case highlights ichthyosis as an early presenting sign of SDS.
  • Gastrointestinal symptoms and cytopenia are also key indicators.
  • SDS diagnosis should be considered in infants with these combined symptoms.

Implications:

  • Early recognition of SDS is crucial for timely intervention.
  • Considering SDS in the differential diagnosis for infants with ichthyosis and failure to thrive is important.
  • This case broadens the understanding of SDS initial presentations.