Genetic disease is caused by a gene change. Genetic disease is one of the types of diseases affecting the personal, family and social life. One of the types of genetic disease is Rabson Mendenhall Syndrome. The Rabson Mendenhall Syndrome (RMS) was first described by Rabson and Menden-hall in 1956. Rabson Mendenhall syndrome is an extremely rare genetic disorder with autosomal recessive inheritance of unknown prevalence that is estimated to affect less than 1 per million people worldwide characterized by severe insulin resistance. The present study is a case report of a patient with Rabson Mendenhall Syndrome in Iran. A 6 year old girl presented with severe hyperglycemia and loss of consciousness and acidosis. In spite of taking large doses of insulin, her sugars were uncontrolled. She had severe acanthosis nigricans. There was associated growth retardation, dental dysplasia, distent abdomen, emaciated extremities and clitoromegaly. In last admission with diabetic ketoacidosis she was treated with intravenous fluids, insulin drip, metformin and also pioglitazone, antibiotics and other supportive treatments as needed, but unfortunately after few days this treatments could not save her and patient expired. There is no complete cure for the condition and the current treatments are difficult and not very promising.
Published in | International Journal of Environmental Chemistry (Volume 4, Issue 1) |
DOI | 10.11648/j.ijec.20200401.12 |
Page(s) | 13-19 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Diabetes Mellitus, Insulin Resistance, Rabson Mendenhall Syndrome
[1] | Longo N, Langley SD, Griffin LD, Elsas LJ. Mutations in the insulin receptor and their effect on glucose transport. Trans. Assoc. Am Physicians. 1992; 105: 204-13. |
[2] | Sinnarajah K, Dayasiri M, Dissanayake N, Kudagammana S, Jayaweera A. Rabson Mendenhall Syndrome caused by a novel missense mutation. International journal of pediatric endocrinology. 2016; 2016 (1): 21. |
[3] | Ebina Y, Ellis L, Yarnagin K, Edery M, Graf L, Clauser E, et al. The human insulin receptor cDNA: the structural basis for the hormone-activated transmembrane signaling. Cell 1985; 40: 747-58. |
[4] | Taylor SI, Arioglu E. Genetically defined forms of diabetes in children. J Clin Endocrinol Metab. 1999; 84: 4390-6. |
[5] | Musso C, Chochran E, Moran SA, Skarulis MC, Oral EA, Taylor S, et al. Clinical course of genetic disease of insulin receptor (type A, and Rabson Mendenhall Syndrome). A 30 year prospective. Medicine 2004; 83: 209-22. |
[6] | Longo N, Wang Y, Pasquali M. Progressive decline in insulin levels in Rabson Mendenhall syndrome. J Clin Endocrinol Metab. 1999; 84: 2623-9. |
[7] | Hassan I, Altaf H, Yaseen A. Rabson-mendenhall syndrome. Indian journal of dermatology. 2014; 59 (6): 633. |
[8] | Garg A. Acquired and inherited lipodystrophies. New Engl J Medicine. 2004; 350: 1220-34. |
[9] | Ardon O, Procter M, Tvrdik T, Longo N, Mao R. Sequencing analysis of insulin receptor defects and detection of two novel mutations in INSR gene. Molec Genet Metab Reports. 2014; 1: 71-84. |
[10] | Mohanan S, Chandrashekar L, Semple RK, Thappa DM, Parameswaran N, Negi VS, et al. Rabson-Mendenhall syndrome with recurrent cerebral infarcts caused by a novel INSR mutation. Int J Derm. 2013; 52 (182-5.). |
[11] | Zaridoust A, Rabbani A, Sayarifard F, Thiel CT, Rezaei N. Acanthosis nigricans, abnormal facial appearance and dentition in an insulin resistance syndrome. Iranian journal of pediatrics. 2013; 23 (3): 363. |
[12] | McDonald A, Williams RM, Regan FM, Semple RK, Dunger DB. IGF-I treatment of insulin resistance. European Journal of Endocrinology. 2007; 157 (suppl_1): S51-S6. |
[13] | Bathi RJ, Parveen S, Mutalik S, Rao R. Rabson Mendenhall syndrome: two case reports and a brief review of the literature. Journal of Odontology. 2010; 98: 89-96. |
[14] | Tritos NA, Mantzoros CS. Clinical review 97: Syndromes of severe insulin resistance. J Clin Endocrinol Metab. 1998; 83: 3025-30. |
[15] | Vidal–Puig A, Moller DE. Insulin Resistance: classification, prevalence, clinical manifestations and diagnosis. In: Azziz R, Nestler JE. Androgen excess disorders in women. Philadelphia: Lippincot Raven. 1997: 227-36. |
[16] | Mantzoros CS, Filer JS. Insulin resistance: the clinical spectrum. In: Advances in Endocrine and metabolism. Mazzaferi E (ed). St. Louis Mosby-Year book. 1995; 6: 193-232.. |
[17] | Kahn CR, Flier JS, Bar RS, Archer JA, Gorden P, Martin MM, et al. The syndromes of insulin resistance and acanthosis nigricans: insulin-receptor disorders in man. New England Journal of Medicine. 1976; 294 (14): 739-45. |
[18] | Alaei MR, Mirjavadi SA, Shiari R. Rabson-Mendenhall syndrome: A case report. Iranian Journal of Child Neurology. 2010; 4 (1): 49-52. |
[19] | Donohue WL, Uchida I. Leprechaunism: a euphemism for a rare familial disorder. J Pediatr 1954; 45: 32-6. |
[20] | Moreira RO, Zagury RL, Nascimento TS, Zagury L. Multidrug therapy in a patient with Rabson-Mendenhall syndrome. Diabetologia 2010; 53: 2454-5. |
[21] | Carrera P, Cordera R, Ferrari M, Cremonesi L, Taramelli R, Andraghetti G, et al. Substitution of Leu for Pro-193 in the insulin receptor in a patient with a genetic form of severe insulin resistance. Hum Mol Genet. 1993; 2: 1437-41. |
[22] | Chochran E, Young JR, Sebring N, DePaoli A, Oral EA, Gorden P. Efficacy of recombinant met hu leptin therapy for the extreme insulin resistance of the RMS. J Clin Endo Metab. 2004; 89: 1548-54. |
[23] | Oral EA, Simha V, Ruiz E, Andewelt A, Premkumar A, Snell P, et al. Leptin-replacement therapy for lipodystrophy. New England Journal of Medicine. 2002; 346 (8): 570-8. |
[24] | Petersen KF, Oral EA, Dufour S, Befroy D, Ariyan C, Yu C, et al. Leptin reverses insulin resistance and hepatic steatosis in patients with severe lipodystrophy. The Journal of clinical investigation. 2002; 109 (10): 1345-50. |
[25] | Minokoshi Y, Kim Y-B, Peroni OD, Fryer LG, Müller C, Carling D, et al. Leptin stimulates fatty-acid oxidation by activating AMP-activated protein kinase. Nature. 2002; 415 (6869): 339. |
[26] | Shimomura I, Matsuda M, Hammer RE, Bashmakov Y, Brown MS, Goldstein JL. Decreased IRS-2 and increased SREBP-1c lead to mixed insulin resistance and sensitivity in livers of lipodystrophic and ob/ob mice. Molecular cell. 2000; 6 (1): 77-86. |
[27] | Zapf J, Schoenle E, Froesch ER. Insulin‐like growth factors I and II: some biological actions and receptor binding characteristics of two purified constituents of nonsuppressible insulin‐like activity of human serum. European Journal of Biochemistry. 1978; 87 (2): 285-96. |
[28] | Rinderknecht E, Humbel RE. The amino acid sequence of human insulin-like growth factor I and its structural homology with proinsulin. Journal of Biological Chemistry. 1978; 253 (8): 2769-76. |
[29] | Ullrich A, Gray A, Tam AW, Yang‐Feng T, Tsubokawa M, Collins C, et al. Insulin‐like growth factor I receptor primary structure: comparison with insulin receptor suggests structural determinants that define functional specificity. The EMBO journal. 1986; 5 (10): 2503-12. |
[30] | Dimitriadis G, Parry-Billings M, Bevan S, Dunger D, Piva T, Krause U, et al. Effects of insulin-like growth factor I on the rates of glucose transport and utilization in rat skeletal muscle in vitro. Biochemical Journal. 1992; 285 (1): 269-74. |
[31] | Di Cola G, Cool MH, Accili D. Hypoglycemic effect of insulin-like growth factor-1 in mice lacking insulin receptors. The Journal of clinical investigation. 1997; 99 (10): 2538-44. |
[32] | Caro JF, Poulos J, Ittoop O, Pories WJ, Flickinger EG, Sinha MK. Insulin-like growth factor I binding in hepatocytes from human liver, human hepatoma, and normal, regenerating, and fetal rat liver. The Journal of clinical investigation. 1988; 81 (4): 976-81. |
[33] | Acerini C, Harris D, Matyka K, Watts A, Umpleby A, Russell-Jones D, et al. Effects of low-dose recombinant human insulin-like growth factor-I on insulin sensitivity, growth hormone and glucagon levels in young adults with insulin-dependent diabetes mellitus. Metabolism. 1998; 47 (12): 1481-9. |
[34] | Simpson HL, Jackson NC, Shojaee-Moradie F, Jones RH, Russell-Jones DL, Sönksen PH, et al. Insulin-like growth factor I has a direct effect on glucose and protein metabolism, but no effect on lipid metabolism in type 1 diabetes. The Journal of Clinical Endocrinology & Metabolism. 2004; 89 (1): 425-32. |
[35] | Musso C, Shawker T, Cochran E, Javor ED, Young J, Gorden P. Clinical evidence that hyperinsulinaemia independent of gonadotropins stimulates ovarian growth. Clinical endocrinology. 2005; 63 (1): 73-8. |
[36] | Schoenle E, Zenobi P, Torresani T, Werder E, Zachmann M, Froesch E. Recombinant human insulin-like growth factor I (rhIGF I) reduces hyperglycaemia in patients with extreme insulin resistance. Diabetologia. 1991; 34 (9): 675-9. |
[37] | Morrow LA, O'Brien M, Moller DE, Flier JS, Moses AC. Recombinant human insulin-like growth factor-I therapy improves glycemic control and insulin action in the type A syndrome of severe insulin resistance. The Journal of Clinical Endocrinology & Metabolism. 1994; 79 (1): 205-10. |
[38] | Zenobi PD, Glatz Y, Keller A, Graf S, Jaeggi-Groisman SE, Riesen WF, et al. Beneficial metabolic effects of insulin-like growth factor I in patients with severe insulin-resistant diabetes type A. European journal of endocrinology. 1994; 131 (3): 251-7. |
[39] | Kuzuya H, Matsuura N, Sakamoto M, Makino H, Sakamoto Y, Kadowaki T, et al. Trial of insulinlike growth factor I therapy for patients with extreme insulin resistance syndromes. Diabetes. 1993; 42 (5): 696-705. |
[40] | Moses AC, Morrow LA, O'Brien M, Moller DE, Flier JS. Insulin-like growth factor I (rhIGF-I) as a therapeutic agent for hyperinsulinemic insulin-resistant diabetes mellitus. Diabetes research and clinical practice. 1995; 28: S185-S94. |
[41] | Vestergaard H, Rossen M, Urhammer SA, Müller J, Pedersen O. Short-and long-term metabolic effects of recombinant human IGF-I treatment in patients with severe insulin resistance and diabetes mellitus. European Journal of Endocrinology. 1997; 136 (5): 475-82. |
[42] | Nakae J, Kato M, Murashita M, Shinohara N, Tajima T, Fujieda K. Long-term effect of recombinant human insulin-like growth factor I on metabolic and growth control in a patient with leprechaunism. The Journal of Clinical Endocrinology & Metabolism. 1998; 83 (2): 542-9. |
[43] | Clemmons DR, Moses AC, McKay MJ, Sommer A, Rosen DM, Ruckle J. The combination of insulin-like growth factor I and insulin-like growth factor-binding protein-3 reduces insulin requirements in insulin-dependent type 1 diabetes: evidence for in vivo biological activity. The Journal of Clinical Endocrinology & Metabolism. 2000; 85 (4): 1518-24. |
[44] | Boonen S, Rosen C, Bouillon R, Sommer A, McKay M, Rosen D, et al. Musculoskeletal effects of the recombinant human IGF-I/IGF binding protein-3 complex in osteoporotic patients with proximal femoral fracture: a double-blind, placebo-controlled pilot study. The Journal of Clinical Endocrinology & Metabolism. 2002; 87 (4): 1593-9. |
[45] | Bergerot I, Fabien N, Maguer V, Thivolet C. Insulin‐like growth factor‐1 (IGF‐1) protects NOD mice from insulitis and diabetes. Clinical & Experimental Immunology. 1995; 102 (2): 335-40. |
[46] | Delovitch T. Insulin-like growth factors prevent cytokine-mediated cell death in isolated islets of Langerhans from pre-diabetic non-obese diabetic mice. Journal of Endocrinology. 1999; 161: 153-65. |
[47] | Chen W, Salojin KV, Mi Q-S, Grattan M, Meagher TC, Zucker P, et al. Insulin-like growth factor (IGF)-I/IGF-binding protein-3 complex: therapeutic efficacy and mechanism of protection against type 1 diabetes. Endocrinology. 2004; 145 (2): 627-38. |
[48] | Ueki K, Okada T, Hu J, Liew CW, Assmann A, Dahlgren GM, et al. Total insulin and IGF-I resistance in pancreatic β cells causes overt diabetes. Nature genetics. 2006; 38 (5): 583. |
APA Style
Daniel Zamanfa, Fatemeh Mohamadi, Somayeh Rostami Maskopaii. (2020). Rabson Mendenhall Syndrome; a Case Report and Review of Literature. International Journal of Environmental Chemistry, 4(1), 13-19. https://doi.org/10.11648/j.ijec.20200401.12
ACS Style
Daniel Zamanfa; Fatemeh Mohamadi; Somayeh Rostami Maskopaii. Rabson Mendenhall Syndrome; a Case Report and Review of Literature. Int. J. Environ. Chem. 2020, 4(1), 13-19. doi: 10.11648/j.ijec.20200401.12
AMA Style
Daniel Zamanfa, Fatemeh Mohamadi, Somayeh Rostami Maskopaii. Rabson Mendenhall Syndrome; a Case Report and Review of Literature. Int J Environ Chem. 2020;4(1):13-19. doi: 10.11648/j.ijec.20200401.12
@article{10.11648/j.ijec.20200401.12, author = {Daniel Zamanfa and Fatemeh Mohamadi and Somayeh Rostami Maskopaii}, title = {Rabson Mendenhall Syndrome; a Case Report and Review of Literature}, journal = {International Journal of Environmental Chemistry}, volume = {4}, number = {1}, pages = {13-19}, doi = {10.11648/j.ijec.20200401.12}, url = {https://doi.org/10.11648/j.ijec.20200401.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijec.20200401.12}, abstract = {Genetic disease is caused by a gene change. Genetic disease is one of the types of diseases affecting the personal, family and social life. One of the types of genetic disease is Rabson Mendenhall Syndrome. The Rabson Mendenhall Syndrome (RMS) was first described by Rabson and Menden-hall in 1956. Rabson Mendenhall syndrome is an extremely rare genetic disorder with autosomal recessive inheritance of unknown prevalence that is estimated to affect less than 1 per million people worldwide characterized by severe insulin resistance. The present study is a case report of a patient with Rabson Mendenhall Syndrome in Iran. A 6 year old girl presented with severe hyperglycemia and loss of consciousness and acidosis. In spite of taking large doses of insulin, her sugars were uncontrolled. She had severe acanthosis nigricans. There was associated growth retardation, dental dysplasia, distent abdomen, emaciated extremities and clitoromegaly. In last admission with diabetic ketoacidosis she was treated with intravenous fluids, insulin drip, metformin and also pioglitazone, antibiotics and other supportive treatments as needed, but unfortunately after few days this treatments could not save her and patient expired. There is no complete cure for the condition and the current treatments are difficult and not very promising.}, year = {2020} }
TY - JOUR T1 - Rabson Mendenhall Syndrome; a Case Report and Review of Literature AU - Daniel Zamanfa AU - Fatemeh Mohamadi AU - Somayeh Rostami Maskopaii Y1 - 2020/01/16 PY - 2020 N1 - https://doi.org/10.11648/j.ijec.20200401.12 DO - 10.11648/j.ijec.20200401.12 T2 - International Journal of Environmental Chemistry JF - International Journal of Environmental Chemistry JO - International Journal of Environmental Chemistry SP - 13 EP - 19 PB - Science Publishing Group SN - 2640-1460 UR - https://doi.org/10.11648/j.ijec.20200401.12 AB - Genetic disease is caused by a gene change. Genetic disease is one of the types of diseases affecting the personal, family and social life. One of the types of genetic disease is Rabson Mendenhall Syndrome. The Rabson Mendenhall Syndrome (RMS) was first described by Rabson and Menden-hall in 1956. Rabson Mendenhall syndrome is an extremely rare genetic disorder with autosomal recessive inheritance of unknown prevalence that is estimated to affect less than 1 per million people worldwide characterized by severe insulin resistance. The present study is a case report of a patient with Rabson Mendenhall Syndrome in Iran. A 6 year old girl presented with severe hyperglycemia and loss of consciousness and acidosis. In spite of taking large doses of insulin, her sugars were uncontrolled. She had severe acanthosis nigricans. There was associated growth retardation, dental dysplasia, distent abdomen, emaciated extremities and clitoromegaly. In last admission with diabetic ketoacidosis she was treated with intravenous fluids, insulin drip, metformin and also pioglitazone, antibiotics and other supportive treatments as needed, but unfortunately after few days this treatments could not save her and patient expired. There is no complete cure for the condition and the current treatments are difficult and not very promising. VL - 4 IS - 1 ER -