DOI: 10.1097/mph.0000000000003309 ISSN: 1077-4114

Schwachman Diamond-Like Syndrome Due to a Novel Variant of DNAJC21 Gene: A Case Report and Literature Review

Ines Maaloul, Jaber Hachicha, Yosra Achich, Taicir Rekik, Antoine Lesieur, Christine Bellanné-Chantelot, Imen Chabchoub, Thouraya Kamoun

Background:

Shwachman-Diamond syndrome (SDS) is a rare inherited disorder characterized by hematological abnormalities, including varying degrees of cytopenia up to pancytopenia, in association with exocrine pancreatic insufficiency and skeletal defects.

Observation:

We report the case of a 13-month-old infant admitted for pancytopenia. Clinical examination revealed severe growth retardation, facial dysmorphism, and genu valgum. Bone marrow aspiration showed a hypoplastic marrow. He also had exocrine pancreatic insufficiency. Molecular analysis identified a homozygous pathogenic variant in the DNAJC21 gene.

Conclusion:

In this report, we detail the clinical spectrum, biological data, and genotype of a Tunisian child with a severe SDS-like phenotype caused by a novel pathogenic variant in the DNAJC21 gene.

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