Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism

Netherton syndrome, a rare autosomal recessive genetic disorder, is classified as an ichthyosiform syndrome. In this report we present the case of a neonate with erythroderma shortly after birth, accompanied by severe hypernatremia, recurrent infections, transient hyperaldosteronism, and signs of gr...

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Main Authors: Chatziioannidis Ilias, Babatseva Evgenia, Patsatsi Aikaterini, Galli-Tsinopoulou Asimina, Sarri Constantina, Lithoxopoulou Maria, Mitsiakos George, Karagianni Paraskevi, Tsakalidis Christos, Mamuris Zissis, Nikolaidis Nikolaos
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2015/818961
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author Chatziioannidis Ilias
Babatseva Evgenia
Patsatsi Aikaterini
Galli-Tsinopoulou Asimina
Sarri Constantina
Lithoxopoulou Maria
Mitsiakos George
Karagianni Paraskevi
Tsakalidis Christos
Mamuris Zissis
Nikolaidis Nikolaos
author_facet Chatziioannidis Ilias
Babatseva Evgenia
Patsatsi Aikaterini
Galli-Tsinopoulou Asimina
Sarri Constantina
Lithoxopoulou Maria
Mitsiakos George
Karagianni Paraskevi
Tsakalidis Christos
Mamuris Zissis
Nikolaidis Nikolaos
author_sort Chatziioannidis Ilias
collection DOAJ
description Netherton syndrome, a rare autosomal recessive genetic disorder, is classified as an ichthyosiform syndrome. In this report we present the case of a neonate with erythroderma shortly after birth, accompanied by severe hypernatremia, recurrent infections, transient hyperaldosteronism, and signs of growth hormone (GH) deficiency. DNA molecular analysis in the SPINK5 gene revealed heterozygosity in our index patient for 238insG and 2468delA frameshift mutations in exons 4 and 26, respectively, in the maternal allele and 1431-12G>A splice-site mutation in intron 15 in the paternal allele as well as the missense variation E420K in homozygous state. Combination of the identified mutations along with transient hyperaldosteronism and possible GH deficiency have not been described before. Accordingly, the importance of early multidisciplinary approach is highlighted, in order to reach accurate diagnosis, initiate prompt treatment, and ensure survival with fewer disease complications.
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-06559e1b2f1d4304856d1fbc78720a8a2025-08-20T03:54:16ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/818961818961Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient HyperaldosteronismChatziioannidis Ilias0Babatseva Evgenia1Patsatsi Aikaterini2Galli-Tsinopoulou Asimina3Sarri Constantina4Lithoxopoulou Maria5Mitsiakos George6Karagianni Paraskevi7Tsakalidis Christos8Mamuris Zissis9Nikolaidis Nikolaos102nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, Greece2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, Greece2nd Dermatology Department, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Thessaloniki, Greece4th Department of Pediatrics, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Thessaloniki, GreeceLaboratory of Genetics, Evolutionary & Comparative Biology, Biochemistry & Biotechnology Department, University of Thessaly, Larissa, Greece2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, Greece2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, Greece2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, Greece2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, GreeceLaboratory of Genetics, Evolutionary & Comparative Biology, Biochemistry & Biotechnology Department, University of Thessaly, Larissa, Greece2nd Neonatal Intensive Care Unit, G.P.N. Papageorgiou Hospital, Aristotle University Faculty of Medicine, Agias Triados 3B Street, Pefka, 57010 Thessaloniki, GreeceNetherton syndrome, a rare autosomal recessive genetic disorder, is classified as an ichthyosiform syndrome. In this report we present the case of a neonate with erythroderma shortly after birth, accompanied by severe hypernatremia, recurrent infections, transient hyperaldosteronism, and signs of growth hormone (GH) deficiency. DNA molecular analysis in the SPINK5 gene revealed heterozygosity in our index patient for 238insG and 2468delA frameshift mutations in exons 4 and 26, respectively, in the maternal allele and 1431-12G>A splice-site mutation in intron 15 in the paternal allele as well as the missense variation E420K in homozygous state. Combination of the identified mutations along with transient hyperaldosteronism and possible GH deficiency have not been described before. Accordingly, the importance of early multidisciplinary approach is highlighted, in order to reach accurate diagnosis, initiate prompt treatment, and ensure survival with fewer disease complications.http://dx.doi.org/10.1155/2015/818961
spellingShingle Chatziioannidis Ilias
Babatseva Evgenia
Patsatsi Aikaterini
Galli-Tsinopoulou Asimina
Sarri Constantina
Lithoxopoulou Maria
Mitsiakos George
Karagianni Paraskevi
Tsakalidis Christos
Mamuris Zissis
Nikolaidis Nikolaos
Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism
Case Reports in Pediatrics
title Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism
title_full Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism
title_fullStr Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism
title_full_unstemmed Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism
title_short Netherton Syndrome in a Neonate with Possible Growth Hormone Deficiency and Transient Hyperaldosteronism
title_sort netherton syndrome in a neonate with possible growth hormone deficiency and transient hyperaldosteronism
url http://dx.doi.org/10.1155/2015/818961
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