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Schimke Immunoosseous dysplasia
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Schimke Immunoosseous dysplasia

Clinical feature: 

Definition: Immunoosseous dysplasia of the Schimke type is an autosomal recessive disorder characterized by skeletal abnormalities, T-cell defects, and nephrotic type progressive nephritis. Mutations of the SMARCAL1 gene are responsible for the disease.

History: The disease was first described, when Schimke in 1971 published a case report.

Clinical picture: Schimke immunoosseous dysplasia (SIOD) is characterized by bone abnormalities, nephrotic syndrome, and T-cell deficiency. The disproportionate short stature is the result of spondyloepiphyseal dysplasia. Other radiological findings are ovoid and mildly flattened vertebral bodies, small deformed capital femoral epiphyses, and shallow dysplastic acetabular fossae.
   The patient are diagnosed with steroid resistant nephrotic syndrome within 5 years after growth retardation becomes obvious. Renal injury develops into end stage renal failure.

Systematic link table: 

Nephrotic syndrome
Congenital nephrotic syndrome of the Finnish type
NPHS1
Congenital nephrotic syndrome, type 3
PLCE1
Donnai-Barrow syndrome
LRP2
Early-onset nephrotic syndrome with diffuse mesangial sclerosis
WT1
Pierson syndrome
LAMB2
Schimke Immunoosseous dysplasia
SMARCAL1
Steroid-resistant nephrotic syndrome
NPHS2

Literature: 

Schimke RN et al. (1971) Chondroitin-6-sulphaturia, defective cellular immunity, and nephrotic syndrome.
Spranger J et al. (1991) Schimke immuno-osseous dysplasia: a newly recognized multisystem disease.
Clewing JM et al. (2007) Schimke immuno-osseous dysplasia: a clinicopathological correlation.
Clewing JM et al. (2007) Schimke immunoosseous dysplasia: suggestions of genetic diversity.
Boerkoel CF et al. (2002) Mutant chromatin remodeling protein SMARCAL1 causes Schimke immuno-osseous dysplasia.
Taha D et al. (2004) Fatal lymphoproliferative disorder in a child with Schimke immuno-osseous dysplasia.