Alquraishi Ali S, Abdelmogeit Sami E, Asiri Khalid, Alasmari Badriah G, Mohammed Mohaned, Alghubishi Somayah A
Pediatrics, Endocrinology Unit, Armed Forces Hospital Southern Region, Khamis Mushait, SAU.
Pediatrics, Armed Forces Hospital Southern Region, Khamis Mushait, SAU.
Cureus. 2025 Feb 11;17(2):e78881. doi: 10.7759/cureus.78881. eCollection 2025 Feb.
Dyggve-Melchior-Clausen (DMC) syndrome is an autosomal skeletal dysplasia, caused by mutations in the DYM gene. The features of this condition include developmental delay skeletal deformity, coarse facial features, and skeletal abnormalities. This case report presents a novel mutation association between DMC syndrome and celiac disease, emphasizing unique clinical findings and management strategies. This case report presents the case of an eight-year-old boy from Saudi Arabia, born to consanguineous parents. The patient presented with delayed development, coarse facial features, skeletal deformity, and fused toes. Radiological findings showed hallmark features of DMC syndrome such as a double hump appearance of the spine, short tubular metacarpal bones, and a lacy pattern on the iliac crest. A homozygous pathogenic mutation in the DYM gene was confirmed by whole-exome sequencing. Furthermore, the patient had celiac disease serology positive. To our knowledge, we did not find any case of DMC syndrome and celiac disease. This case expands the clinical spectrum of DMC syndrome by documenting its association with celiac disease, a previously unreported comorbidity. It underscores the importance of comprehensive evaluation, including autoimmune screening, in patients with rare genetic disorders. Further research is needed to explore the potential link between DMC syndrome and autoimmune conditions.
迪格维-梅尔基奥尔-克劳森(DMC)综合征是一种常染色体显性遗传性骨骼发育不良疾病,由DYM基因突变引起。该病症的特征包括发育迟缓、骨骼畸形、面部特征粗糙以及骨骼异常。本病例报告展示了DMC综合征与乳糜泻之间一种新的突变关联,强调了独特的临床发现和管理策略。本病例报告介绍了一名来自沙特阿拉伯的8岁男孩,其父母为近亲结婚。该患者表现出发育迟缓、面部特征粗糙、骨骼畸形以及脚趾融合。影像学检查结果显示出DMC综合征的典型特征,如脊柱呈双峰状、掌骨短小以及髂嵴呈花边状。通过全外显子测序证实了DYM基因存在纯合致病性突变。此外,该患者的乳糜泻血清学检测呈阳性。据我们所知,我们未发现任何DMC综合征与乳糜泻并存的病例。本病例通过记录DMC综合征与乳糜泻(一种先前未报告的合并症)之间的关联,扩展了DMC综合征的临床谱。它强调了对罕见遗传疾病患者进行全面评估(包括自身免疫筛查)的重要性。需要进一步研究来探索DMC综合征与自身免疫性疾病之间的潜在联系。