Soliman A T, Bappal B, Darwish A, Rajab A, Asfour M
Department of Paediatrics, Royal Hospital, Muscat, Oman.
Arch Dis Child. 1995 Sep;73(3):251-3. doi: 10.1136/adc.73.3.251.
Two girls with DIDMOAD syndrome are presented. One also had severe megaloblastic-sideroblastic anaemia and the other several neurological manifestations. Both were short with defective growth hormone secretion. Computed tomography revealed empty sella in both girls; one had widespread atrophic cortical and cerebellar changes. High doses of thiamine improved the anaemia in the first case, increased C peptide secretion in both, but had no effect on the neurological abnormalities.
本文报告了两名患有尿崩症、糖尿病、视神经萎缩及耳聋综合征(DIDMOAD综合征)的女孩。其中一名女孩还患有严重的巨幼细胞性-铁粒幼细胞性贫血,另一名女孩有多种神经学表现。两人均身材矮小,生长激素分泌不足。计算机断层扫描显示两名女孩均存在空蝶鞍;其中一名女孩还有广泛的皮质和小脑萎缩性改变。大剂量硫胺素改善了第一例患者的贫血状况,增加了两人的C肽分泌,但对神经学异常没有影响。