ARTICLE INFO

Article Type

Case Report

Authors

Shafeghati   Y. (*)
Sarkheil   P. (1)
Baghdadi‎   T. (2)
Hadipour‎   F. (3)
Hadipour‎   Z. (3)
Noruzinia‎   M. (4)






(*) ‎“Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”‎, Sarem Hospital, Tehran, Iran
(1) ‎Genetics Department, Sarem Women’s Hospital, Tehran, Iran
(2) ‎Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
(3) "Sarem Fertility & Infertility Research Center (SAFIR)”, “Genetics Department” and “Sarem Cell Research ‎Center (SCRC)"‎, Sarem Women’s Hospital, Tehran, Iran
(4) ‎Medical Genetics Department‎, Medical Sciences, Tarbiat Modares University, Tehran, Iran

Correspondence

Address: -
Phone: -
Fax: -
dr.yshafagh@gmail.com

Article History

Received:   January  11, 2016
Accepted:   May 18, 2016
ePublished:   June 15, 2016

ABSTRACT

Information & Methods Fanconi-Bickel disease is a rare disorder in the metabolism of carbohydrates. The ‎disease is transmitted by heredity recessive autosomi. Somebodies have ‎classified this diease as a glycogenosis that does not appear to be correct, because ‎the cause of this disease not a disorder in the metabolism of glycogen, realy it is ‎due to impairment of saccarides transfer into the membranous GLUT2 channel. ‎The properties consist of: hepatorenal glycogenose, proximal RTA, impaired ‎glucose and galactose consumption, manage resistant hypophosphatemic rickets ‎and delay the growth resulting from it. But being non-typical cues could wrongly ‎lead to another initial diagnosis like osteogenesis imperfecta.‎ ‎3.5-year-old girl with the probable diagnosis of osteogenesis imperfecta was ‎admitted for periodical treatment by pamydronat. The child resulting from ‎consanguineous marriages and in history of pregnancy and maternity there was ‎not any problem. Because of the delay in motion and repeated fractures, suspicion ‎to osteogenesis imperfecta disease was initially raised. In the follow up of the next ‎turned the patient revealed resistant rickets. Gradually hepatomegaly appearead ‎and the biopsy emphasized glycogen accumulation. Then gradually renal affliction ‎‎-fanconi syndrome and RTA- were revealed.‎
Conclusion According to the mentioned symptoms, the very rare diseases Fanconi-Bickel ‎syndrome was raised for the patient. By molecular Study on operating gene called ‎Glucose transporter 2 (GLUT2), this disease was confirmed. This type of mutant is ‎recognized for the first time that has not already been reported in medical ‎resources. ‎


CITATION LINKS

[1]Santer R, Schneppenheim R, Suter D, Schaub J, Steinmann B. Fanconi-Bickel syndrome--the original patient ‎and his natural history, historical steps leading to the primary defect, and a review of the literature. Eur J ‎Pediatr. 1998;157(10):783-97.‎
[2]Santer R, Steinmann B, Schaub J. Fanconi-Bickel syndrome--a congenital defect of facilitative glucose ‎transport. Curr Mol Med. 2002;2(2):213-27.‎
[3]Manz F, Bickel H, Brodehl J, Feist D, Gellissen K, Gescholl- Bauer B, et al. Fanconi-Bickel syndrome. Pediatr ‎Nephrol. 1987;1(3):509-18. ‎
[4]Berry GT, Baker L, Kaplan FS, Witzleben CL. Diabeteslike renal glomerular disease in Fanconi-Bickel ‎syndrome. Pediatr Nephrol. 1995;9(3):287-91.‎
[5]Odievre M. Hepato-renal glycogenosis with complex tubulopathy. 2. Cases of a new entity. Rev Int Hepatol. ‎‎1966;16(1):1-70. [French]‎
[6]Fukumoto H, Seino S, Imura H, Seino Y, Eddy RL, Fukushima Y, et al. Sequence, tissue distribution, and ‎chromosomal localization of mRNA encoding a human glucose transporterlike protein. Proc Natl Acad Sci U S ‎A. 1988; 85(15):5434-8.‎
[7]Takeda J, Kayano T, Fukomoto H, Bell GI. Organization of the human GLUT2 (pancreatic beta-cell and ‎hepatocyte) glucose transporter gene. Diabetes. 1993;42(5):773-7.‎
[8]Sakamoto O, Ogawa E, Ohura T, Igarashi Y, Matsubara Y, Narisawa K, et al. Mutation analysis of the GLUT2 ‎gene in patients with Fanconi-Bickel syndrome. Pediatric research. 2000;48(5):586-9. ‎
[9]Santer R, Groth S, Kinner M, Dombrowski A, Berry GT, Brodehl J, et al. The mutation spectrum of the ‎facilitative glucose transporter gene SLC2A2 (GLUT2) in patients with Fanconi-Bickel syndrome. Hum Genet. ‎‎2002;110(1):21-9. ‎