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Clinical and molecular characterization of children with neonatal diabetes mellitus at a tertiary care center in northern India

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ObjectiveTo study the genetic mutations and clinical profile in children with neonatal diabetes mellitusMethodsGenetic evaluation, clinical management and follow-up of infants with neonatal diabetesResultsEleven infants were studied of which eight… Click to show full abstract

ObjectiveTo study the genetic mutations and clinical profile in children with neonatal diabetes mellitusMethodsGenetic evaluation, clinical management and follow-up of infants with neonatal diabetesResultsEleven infants were studied of which eight had permanent neonatal diabetes. Median age at presentation was 8 weeks and mean (SD) birth weight was 2.4 (0.5) kg. Pathogenic genetic mutations were identified in 7 (63.6%) children; 3 infants with mutations in KCNJ11 gene and 1 in ABCC8 were switched to oral sulfonylureas; 2 infants had mutations in INS and 1 in ZFP57.ConclusionNeonatal diabetes mellitus is a heterogeneous disorder. Identification of genetic cause guides clinical management.

Keywords: clinical molecular; molecular characterization; characterization children; diabetes mellitus; children neonatal; neonatal diabetes

Journal Title: Indian Pediatrics
Year Published: 2017

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