Publication: Renal failure in two patients with Wolfram syndrome
No. of Pages/File Size
Journal of Pediatric Endocrinology and Metabolism. Vol.10, No.6 (1997), 645-651
Achra Sumboonnanonda, Arun Vongjirad, Vibul Suntornpoch, Kitti Angsusingha, Paisal Parichatikanond, Tawee Laohapand (1997). Renal failure in two patients with Wolfram syndrome. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/17915.
Renal failure in two patients with Wolfram syndrome
We describe a Thai family with three children, two of whom presented with Wolfram syndrome, which is a rare syndrome characterized by diabetes insipidus, diabetes mellitus, optic atrophy, deafness and urinary tract dilatation. A girl and her younger brother had insulin-dependent diabetes mellitus at 11 years old with early onset of renal impairment, proteinuria and hypertension. Urinary tract dilatation was demonstrated in both patients. Kidney biopsies were compatible with diabetic nephropathy. Both children also had bilateral sensorineural hearing loss. Optic atrophy with severe loss of vision was detected in the girl and bilateral cataract in her brother. Both patients were HLA DR2positive. At 16 years old, her creatinine clearance was 16 ml/min/1.73 m2. Her brother's creatinine clearance was 25 ml/min/1.73 m2at 13 years old. We conclude that renal function should be evaluated in patients with Wolfram syndrome and the cause of renal failure in these patients may be rapid and severe diabetic nephropathy.