Rogers Syndrome
Classification according to ICD-10 | |
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Q21.0 | Ventricular septal defect |
ICD-10 online (WHO version 2019) |
The Rogers syndrome is a very rare congenital disease with the main features of a megaloblastic (form of anemia) with diabetes mellitus and sensorineural deafness .
Synonyms are: English Thiamine-Responsive Megalobastic Anemia Syndrome; TRMA; Thiamine Metabolism Dysfunctionm Syndrome 1; THMD1; Thiamine-Responsive Anemia Syndrome; Thiamine-Responsive Myelodysplasia
The name refers to the first author of the first description from 1969 by Lon E. Rogers and colleagues.
distribution
The frequency is given as less than 1 in 1,000,000, inheritance is autosomal - recessive .
root cause
The disease are mutations in SLC19A - gene on chromosome 1 locus q24.2 basis which for Thiam intra Sporter 1 coded. Disturbances in this gene can lead to a lack of TC1 and thus to a form of megaloblastic anemia.
Clinical manifestations
Clinical criteria are:
- Onset of illness in early childhood
- Megaloblastic anemia treatable with thiamine
- progressive hearing loss
- Diabetes mellitus requiring insulin
- no further signs of thiamine deficiency
diagnosis
The diagnosis is based on the clinical findings and is confirmed by a bone marrow aspiration and possibly a human genetic examination .
Differential diagnosis
The following are to be distinguished:
therapy
Treatment is by administration of thiamine, otherwise symptomatic.
literature
- L. Crouzet-Ozenda Luci, S. De Smet, F. Monpoux, C. Ferrero-Vacher, F. Giuliano, N. Sirvent: Galactosémie congénitale associée à un syndrome de Rogers chez une petite fille de 10 mois. In: Archives de Pédiatrie: organe officiel de la Société francaise de pédiatrie , Volume 18, No. 1, January 2011, pp. 54-57, doi: 10.1016 / j.arcped.2010.10.013 , PMID 21177082 .
- D. Baron, YG Assaraf, S. Drori, A. Aronheim: Disruption of transport activity in a D93H mutant thiamine transporter 1, from a Rogers Syndrome family. In: European Journal of Biochemistry , Volume 270, No. 22, November 2003, pp. 4469-4477, PMID 14622275 .
Web links
Individual evidence
- ↑ a b Bernfried Leiber (founder): The clinical syndromes. Syndromes, sequences and symptom complexes . Ed .: G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7., completely reworked. Edition. tape 2 : symptoms . Urban & Schwarzenberg, Munich et al. 1990, ISBN 3-541-01727-9 .
- ↑ a b c d Thiamine-responsive megaloblastic anemia with diabetes mellitus and sensorineural hearing loss. In: Orphanet (Rare Disease Database).
- ^ FS Porter, LE Rogers, JB Sidbury: Thiamine-responsive megaloblastic anemia. In: The Journal of pediatrics , Vol. 74, No. 4, April 1969, pp. 494-504, PMID 5767338 .
- ↑ Thiamine-responsive megaloblastic anemia syndrome. In: Online Mendelian Inheritance in Man . (English)