A 21-year-old man with
diabetic ketoacidosis (DKA) displayed short and
clubbed fingers and marked
eyebrow, which are typical of
Hajdu-Cheney Syndrome (HCS).
Laboratory findings confirmed
type 1 diabetes mellitus (DM). After conservative care with hydration and
insulin supply, metabolic impairment was improved. Examinations of
bone and
metabolism revealed
osteoporosis and
craniofacial abnormalities. The
mutation (c.6443T>G) of the NOTCH2
gene was found. The
patient was diagnosed with HCS and DM. There may be a relationship between HCS and DM, with development of pancreatic symptoms related to the NOTCH2
gene mutation.