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a National and
Kapodistrian University of Athens School of Medicine, First Department
of Paediatrics, Aghia Sophia Children's Hospital, Goudi 115 27, Athens, Greece, b Department of Genetics, Institute of
Child Health, Aghia Sophia Children's Hospital, Athens, Greece
Correspondence to: Dr Dacou-Voutetakis.
Received 29 April 1997;
Revised version accepted for publication 3 July 1998
A 4 year 3 month old boy with insulin dependent diabetes
mellitus (IDDM), autoimmune thyroiditis, slight mental retardation, facial dysmorphism, and a de novo ring chromosome 18 (deletion 18q22.3-18qter) is described. This unique association of defects could
represent a chance association. Alternatively, the clinical features
could be the result of the chromosomal aberration. If so, one could
speculate that a gene or genes on chromosome 18 might act as a
suppressor or activator of the autoimmune process by itself or in
concert with other IDDM loci.
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