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Nevo syndrome

M Dumić1, D Vukelić, V Plavsić

  • 1Department of Pediatrics, University Hospital, Zagreb, Croatia.

American Journal of Medical Genetics
|March 21, 1998
PubMed
Summary
This summary is machine-generated.

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Nevo syndrome causes significant overgrowth and developmental delays. A patient exhibited severe insulin resistance, contributing to accelerated weight gain despite low growth hormone levels.

Area of Science:

  • Genetics and Developmental Biology
  • Endocrinology
  • Pediatric Medicine

Background:

  • Nevo syndrome is a rare genetic disorder characterized by overgrowth and developmental abnormalities.
  • Understanding the metabolic underpinnings of Nevo syndrome is crucial for patient management.

Observation:

  • A patient with Nevo syndrome presented with intrauterine and postpartum overgrowth, dysmorphic features, hypotonia, and developmental delays.
  • Following meningococcal sepsis, the patient experienced accelerated weight gain and extreme overgrowth.
  • Clinical examination revealed low plasma concentrations of growth hormone and insulin-like growth factor, alongside severe insulin resistance.

Findings:

  • The patient exhibited severe insulin resistance, suggesting a potential defect in insulin-stimulated glucose uptake.

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  • This metabolic derangement may explain the "overgrowth without growth hormone" phenotype, particularly after brain injury.
  • Accelerated osseous maturation and significant weight gain were key features of the accelerated growth.
  • Implications:

    • This case highlights the complex interplay between genetic factors, hormonal regulation, and metabolic pathways in Nevo syndrome.
    • Further research into insulin signaling defects could offer novel therapeutic targets for managing overgrowth conditions.
    • Understanding these mechanisms is vital for improving the long-term prognosis and quality of life for affected individuals.