Secondary diabetes mellitus in Prader-Willi syndrome

Abstract

Objective

Prader-Willi Syndrome (PWS) is a rare autosomal dominant disorder on the 15q11.2-q13 chromosome. PWS may impact metabolic, endocrine, and neurologic systems and combine with hypotonia, sleep disturbances, cognitive disability, central adrenal insufficiency, hypothyroidism, hypogonadism, short stature, and other diseases.

Methods

Here ,we report a PWS patient with secondary diabetes mellitus. Clinical and laboratory features are summarized.

Results

The patient had typical manifestations of PWS including almond-shaped eyes, narrow temples, narrow nasal bridge, and short hands and feet. Lab test revealed hypogonadism and growth hormone deficiency. SNP array revealed one copy of chromosome 15 q11.2q13.1 was missing, with a length of about 6.4 mbp.

Conclusions

This case emphasizes the importance of considering PWS in the differential diagnosis of an adolescent with diabetes. Antenatal history of neonatal hypotonia and childhood history of feeding disorder are the keys to the diagnosis of PWS.

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Acknowledgments

Authors acknowledge assistance of department of endocrinology of the first affiliated hospital of Xi'an Jiaotong University.

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Correspondence to Juan Liu.

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Gao, C., Yao, X. & Liu, J. Secondary diabetes mellitus in Prader-Willi syndrome. Int J Diabetes Dev Ctries (2021). https://doi.org/10.1007/s13410-021-00936-6

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Keywords

  • Prader-Willi syndrome
  • Secondary diabetes mellitus
  • Growth hormone deficiency
  • Hypogonadism
  • Case report