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Two Novel Insulin Receptor Gene Mutations in a Patient with Rabson-Mendenhall Syndrome: The First Korean Case Confirmed by Biochemical, and Molecular Evidence
Article in En | WPRIM | ID: wpr-119892
Responsible library: WPRO
ABSTRACT
Rabson-Mendenhall syndrome (RMS) is a rare syndrome manifested by extreme insulin resistance with hyperinsulinemia, acanthosis nigricans, tooth dysplasia and growth retardation. Our patient was first noted at the age of 8 months due to pigmentations on skin-folded areas. Initial laboratory tests showed normal fasting glucose (69 mg/dL). Fasting insulin level was severely elevated, up to 554.6 microIU/mL, and c-peptide level was increased, up to 13.81 ng/mL. However, hemoglobin A1c was within normal range (4.8%). He is now 11 yr old. His growth development followed the 5-10th percentile and oral hypoglycemic agents are being administered. The last laboratory results showed insulin 364.1 microIU/mL, C-peptide 4.30 ng/mL, and hemoglobin A1c 7.6%. The boy was a compound heterozygote for the c.90C > A and c.712G > A mutations of the insulin receptor gene, INSR, which are nonsense and missense mutations. In summary, we report the first Korean case of RMS, which was confirmed by two novel mutations of the INSR.
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Full text: 1 Index: WPRIM Main subject: Blood Glucose / C-Peptide / Receptor, Insulin / Base Sequence / Sequence Analysis, DNA / Codon, Nonsense / Mutation, Missense / Asian People / Donohue Syndrome / Republic of Korea Limits: Humans / Infant / Male Country/Region as subject: Asia Language: En Journal: Journal of Korean Medical Science Year: 2012 Type: Article
Full text: 1 Index: WPRIM Main subject: Blood Glucose / C-Peptide / Receptor, Insulin / Base Sequence / Sequence Analysis, DNA / Codon, Nonsense / Mutation, Missense / Asian People / Donohue Syndrome / Republic of Korea Limits: Humans / Infant / Male Country/Region as subject: Asia Language: En Journal: Journal of Korean Medical Science Year: 2012 Type: Article