Abstract:OBJECTIVE: Wolfram syndrome (WFS) is a rare, autosomal recessive inherited disease characterized by various clinical manifestations. The aim of this study was to investigate clinical characteristics of WFS. METHODS: One case of WFS was reported. Combined with the clinical data of 8 cases of WFS which had been reported in China between 1994 and 2007, the clinical characteristics of WFS were reviewed. RESULTS: Insulin-dependent diabetes mellitus as the earliest manifestation was found in all of the 9 patients, with a median onset age of 5.0 years. Optic atrophy occurred in 8 patients (onset age: 8.5 years), diabetes insipidus in 7 patients (onset age: 8.5 years) and deafness in 7 patients (onset age: 9.8 years). Short stature was found in 6 patients and hydroureteronephrosis in 4 patients. CONCLUSIONS: Insulin-dependent diabetes mellitus was the first presentation in children with WFS. Optic atrophy, diabetes insipidus and deafness were common complications, with a various onset age.[Chin J Contemp Pediatr, 2009, 11 (2):113-115]
[1]Wolfram DJ, Wagener HP. Diabetes mellitus and simple optic atrophy among siblings: Report of four cases[J]. Mayo Clin Proc, 1938, 13:715-718.
[2]Randa TA, Horton JC, Layxer RB. Wolfram syndrome: evidence of a diffuse neurodegenerative disease by magnetic resonance imaging[J]. Neurology, 1992, 42(6):1220-1224.
[7]Simsek E, Simsek T, Tekgul S,Hosal S,Seyrantepe V,Aktan G. Wolfram (DIDMOAD) syndrome: a multidisciplinary clinical study in nine Turkish patients and review of the literature[J]. Acta Paediatr, 2003, 92(1):55-61.
[8]Medlej R, Wasson J, Baz P, Azar S, Salti I, Loisalet J, et al. Diabetes mellitus and optic atrophy: a study of Wolfram syndrome in the Lebanese population[J]. J Clin Endocrinol Metab, 2004, 89(4):1656-1661.
[9]Higashi K. Otologic findings of DIDMOAD syndrome [J]. Am J Otol, 1991, 12(1):57-60.
[10]Hadidy AM, Jarrah NS, Al-Till MI, El-Shanti HE, Ajlouni KM. Radiological findings in Wolfram syndrome[J]. Saudi Med J, 2004, 25(5):638-641.
[11]Esteban Bueno G, Gómez Trujillo FM. Clinical manifestations and diagnostic delay in Wolfram′s syndrome[J]. Rev Clin Esp, 2006, 206(7):332-335.
[12]Zen PR, Pinto LL, Schwartz IV, Barrett TG, Paskulin G. Report of a Brazilian patient with Wolfram syndrome[J]. J Pediatr, 2002, 78(6):529-532.
[13]Fabbri LP, Nucera M, Grippo A, Menicucci A, De Feo ML, Becchi C, et al. Wolfram syndrome. How much could knowledge challenge the fate? A case report[J]. Med Sci Monit, 2005, 11(7):CS40-44.