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CASE REPORT
A case of young diabetes and parasuicide
  1. Sailesh Lodha1,
  2. Liza Das2,
  3. Ghanshyam das Ramchandani3,
  4. Anil Bhansali2
  1. 1Endocrinology, Eternal Heart Care Center, Jaipur, Rajasthan, India
  2. 2Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  3. 3Endocrinology, Ramchandani Diabetes Centre, Kota, India
  1. Correspondence to Dr Anil Bhansali, anilbhansaliendocrine{at}gmail.com

Summary

Wolfram syndrome is a rare monogenic cause of juvenile onset diabetes mellitus. It is a non-autoimmune, insulin-deficient state with concurrent or consequent optic atrophy. Here we depict the case of a 16-year-old young girl afflicted with this condition, who presented with parasuicide on a background of depressive disorder. The aetiology of this presentation was attributable to multiple physical ailments and a genetic predisposition conferred by the disease-causing mutation for which she tested positive. She was managed with intensive insulin therapy and specific psychotherapy. Her case highlights the importance of recognising and addressing these comorbidities associated with Wolfram syndrome, so as to curtail disastrous consequences.

  • diabetes
  • genetic screening / counselling
  • child and adolescent psychiatry
  • suicide (psychiatry)
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Footnotes

  • Contributors SL: identified and managed the case. LD: wrote the manuscript. GDR: helped in management of the case. AB: conceived the idea and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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