Abstract |
A 20-year-old Japanese man was admitted to our hospital because of thirst and weight loss. His fasting plasma glucose, glycated hemoglobin, and urinary C-peptide were 262 mg/dl, 13.6%, and 44.8 microg/day, respectively, and the autoimmune antibodies related to type 1 diabetes were negative. Chromosome analysis of his peripheral blood lymphocytes showed a mos45,XY,der(14;14)(q10;ql0)[129]/ 46,XY,+14, der(14;14)(q10;q10)[1] karyotype. His parents were karyotypically normal. Microsatellite marker analysis on chromosome 14 demonstrated mosaic maternal segmental isodisomy for 14q21-q24. Although the parents had normal glucose regulation, the patient who finally returned to impaired glucose tolerance and his mother both have a deficiency in early postprandial insulin secretion. Since obesity was mild (body mass index, 24.1 kg/m2) and he was relatively young for type 2 diabetes, we speculated that his isodisomy 14 may have been involved in the onset of diabetes mellitus in this patient.
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Authors | Masahito Katahira, Tomohiko Kayashima, Tatsuya Kishino, Norio Niikawa |
Journal | Internal medicine (Tokyo, Japan)
(Intern Med)
Vol. 41
Issue 9
Pg. 717-21
(Sep 2002)
ISSN: 0918-2918 [Print] Japan |
PMID | 12322799
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Blood Glucose
- Glycated Hemoglobin A
- Hypoglycemic Agents
- Insulin
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Topics |
- Adult
- Blood Glucose
- Chromosome Aberrations
- Chromosomes, Human, Pair 14
- Diabetes Mellitus
(genetics, therapy)
- Glucose Tolerance Test
- Glycated Hemoglobin
- Humans
- Hypoglycemic Agents
(therapeutic use)
- Insulin
(therapeutic use)
- Karyotyping
- Male
- Mothers
- Pedigree
- Treatment Outcome
- Uniparental Disomy
(genetics)
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