Pancreatic Insufficiency with Bone Marrow Dysfunction (Shwachman-Diamond-Oski-Khaw's Syndrome) Report of a Case

A 2-year-9-month-old Japanese boy was reported of the ‘pancreatic insuffi- ciency with bone marrow dysfunction syndrome’, which was first described by Shwachman, Diamond, Oski and Khaw in 1964. Main clinical features of our own patient consisted of failure to gain weight, steatorrhea, pancytopenia,...

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Veröffentlicht in:The Tohoku Journal of Experimental Medicine 1967, Vol.92(1), pp.1-12
Hauptverfasser: Higashi, Ototaka, Hayashi, Tadashi, Ohara, Kazuo, Honda, Yoshiyuki, Konno, Tasuke, Sato, Yasushi, Yoshida, Toshio, Dohi, Senri, Takezawa, Yoshiaki
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container_issue 1
container_start_page 1
container_title The Tohoku Journal of Experimental Medicine
container_volume 92
creator Higashi, Ototaka
Hayashi, Tadashi
Ohara, Kazuo
Honda, Yoshiyuki
Konno, Tasuke
Sato, Yasushi
Yoshida, Toshio
Dohi, Senri
Takezawa, Yoshiaki
description A 2-year-9-month-old Japanese boy was reported of the ‘pancreatic insuffi- ciency with bone marrow dysfunction syndrome’, which was first described by Shwachman, Diamond, Oski and Khaw in 1964. Main clinical features of our own patient consisted of failure to gain weight, steatorrhea, pancytopenia, the absence of trypsin, lipase and amylase activities in the pancreatic juice, and no increase in the sweat chloride concentration. At autopsy there were massive hemorrhages into the brains and gastrointes-tinal tracts and petechial hemorrhages in the lungs, pleurae, pen- and endocar-dium, psoas muscles and renal pelvis. Histological examination of the pancreas revealed that the tissue was mostly composed of adipose tissue containing the islets of Langerhans which were preserved well and had almost normal appearance. Histological examination of the bone marrow revealed the absence of mega- karyocytes.
doi_str_mv 10.1620/tjem.92.1
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source MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals
subjects Bone Marrow - pathology
Bone Marrow Diseases - complications
Brain - pathology
Child, Preschool
Humans
Male
Pancreas - pathology
Pancreatic Diseases - complications
Pancreatic Juice - analysis
title Pancreatic Insufficiency with Bone Marrow Dysfunction (Shwachman-Diamond-Oski-Khaw's Syndrome) Report of a Case
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