Startseite Long-term follow-up of transient neonatal diabetes mellitus due to a novel homozygous c.7734C>T (p.R228C) mutation in ZFP57 gene: relapse at prepubertal age
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Long-term follow-up of transient neonatal diabetes mellitus due to a novel homozygous c.7734C>T (p.R228C) mutation in ZFP57 gene: relapse at prepubertal age

  • Tuğba Kontbay , Müge Atar ORCID logo und Hüseyin Demirbilek EMAIL logo
Veröffentlicht/Copyright: 28. Februar 2022

Abstract

Objectives

Neonatal diabetes mellitus (NDM) is a rare form of monogenic diabetes present within the first six months of life. NDM can be transient (TNdM) or permanent (PNDM). About 70% of TNDM cases have abnormalities in the imprinted region of chromosome 6q24. In TNDM, diabetes remits at infancy whilst may relapse later in life. Chromosome 6q24 related TNDM usually relapses at the pubertal period, while in some cases, relapse occurs earlier. It has been reported that these cases can respond to sulfonylurea treatment, while more evidence and experience are needed.

Case presentation

Herein, we reported relapse of diabetes at prepubertal age and its response to sulphonylurea therapy in a case with TNDM due to a homozygous c.7734C>T (p.R228C) variant in the ZFP57 gene.

Conclusions

A response to the sulphonylurea monotherapy seems not optimal for relapsed TNDM due to chromosome 6q24 abnormalities.


Corresponding author: Hüseyin Demirbilek, MD, Department of Paediatric Endocrinology, Hacettepe University Faculty of Medicine, 06130, Ankara, Turkey, Phone: +90 3123051124, Fax: +90 3123121809, E-mail:

  1. Research funding: None declared.

  2. Author contribution: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Not applicable.

References

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Received: 2021-08-21
Revised: 2021-12-04
Accepted: 2022-01-30
Published Online: 2022-02-28
Published in Print: 2022-05-25

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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