Volume 6, Issue 4 (17 2007)                   ijdld 2007, 6(4): 401-408 | Back to browse issues page

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Lessan N, Ghodsi M, Farooqi S, Larijani B. THE FIRST REPORT OF LEPR MUTATION IN AN IRANIAN MORBID OBESE CHILD. ijdld. 2007; 6 (4) :401-408
URL: http://ijdld.tums.ac.ir/article-1-309-en.html
Abstract:   (6448 Views)

It is estimated that up to 40-70% of obesities is attributable to genetic factors.  Monogenic forms of obesity are uncommon.  We present the first such reported case in Iran. The patient presented with a history of severe hyperphagia, rapid weight gain and recurrent infections.  He was born after a normal pregnancy in a highly consanguineous marriage.  His birth weight had been normal.  At age of 18 months he weighted 28 kg.  Apart from obesity and syndactyly of second/third digits in both feet there were no other abnormalities on physical examination.    His fasting serum leptin was 45 ng/ml.  Genotyping revealed 66-bp deletion in codon 514 of leptin receptor gene.

Unfortunately he developed another respiratory infection which was unresponsive to intensive treatment and died following a cardiorespiratory arrest. Genetic assessment is recommended in morbid obese patients especially those with a childhood onset.  Leptin receptor mutations can be associated with immune system deficiency and recurrent infections.

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Type of Study: Research | Subject: General
Received: 2007/04/29 | Accepted: 2007/07/24 | Published: 2013/10/15

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