Aetiopathology and genetic basis of neonatal diabetes.

نویسندگان

  • J P Shield
  • R J Gardner
  • E J Wadsworth
  • M L Whiteford
  • R S James
  • D O Robinson
  • J D Baum
  • I K Temple
چکیده

A British Paediatric Association Surveillance Unit* study of neonatal diabetes determined a national incidence of 1 in 400,000 live births. Additional cases of transient neonatal diabetes were collected retrospectively. Most cases were of low birthweight at term: none had evidence of an autoimmune aetiopathogenesis. The median requirement for exogenous insulin treatment was three months. A significant number of cases developed type 2 diabetes in later life. Three of the 11 cases were found to have paternal uniparental isodisomy of chromosome 6. A further patient carried an unbalanced duplication of 6q 22-23, inherited from the father, which localised a potentially imprinted gene for diabetes to this region. The fact that low birthweight predisposes to type 2 diabetes in later life is well established, but a genetic defect that may relate both to intrauterine growth failure and the development of type 2 diabetes in later life has now been identified.

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عنوان ژورنال:
  • Archives of disease in childhood. Fetal and neonatal edition

دوره 76 1  شماره 

صفحات  -

تاریخ انتشار 1997