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pubmed-article:17106217pubmed:abstractTextShwachman-Diamond syndrome (SDS) is characterized by exocrine pancreatic insufficiency, skeletal abnormalities and hematological dysfunction. The genetic analysis of the SBDS gene and the long-term follow-up of a 37-year-old man with SDS, osteoporosis and type 1 diabetes are reported. Analysis of the SBDS gene revealed a compound heterozygous genotype with 7 mutations. This genotype is the result of the inheritance of abnormal alleles from both healthy parents. We identified putatively non-functional gene conversions from the SBDS pseudogene into the otherwise normal SBDS gene in each of the parentally inherited alleles. The association of SDS and type 1 diabetes mellitus seems to be coincidental and not associated to distinct mutations of the SBDS gene. Osteoporosis in patients with SDS may be the result of a primary defect of the bone metabolism and not of a nutritional problem, although our patient had chronic hypophosphatemia. The long-term follow-up of this patient provides interesting insights into the course of SDS, showing the complexity of genotype-phenotype correlations and the possible influence of other modifying genes and/or environmental factors that might determine the phenotypic presentation of SDS in an individual patient.lld:pubmed
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pubmed-article:17106217pubmed:copyrightInfoCopyright 2006 S. Karger AG, Basel and IAP.lld:pubmed
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pubmed-article:17106217pubmed:year2006lld:pubmed
pubmed-article:17106217pubmed:articleTitleCompound heterozygous mutations of the SBDS gene in a patient with Shwachman-Diamond syndrome, type 1 diabetes mellitus and osteoporosis.lld:pubmed
pubmed-article:17106217pubmed:affiliationMedizinische Klinik und Poliklinik II, Universitatsklinikum Leipzig, Leipzig, Germany.lld:pubmed
pubmed-article:17106217pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:17106217pubmed:publicationTypeCase Reportslld:pubmed