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Open Access 01-07-2015 | Case Report

Berardinelli-Seip syndrome and achalasia: a shared pathomechanism?

Authors: Rachel J. van der Pol, Marc A. Benninga, Jocelyne Magré, Lionel Van Maldergem, Joost Rotteveel, Marjo S. van der Knaap, Tim G. de Meij

Published in: European Journal of Pediatrics | Issue 7/2015

Abstract

Berardinelli-Seip congenital lipodystrophy (BSCL) is an uncommon autosomal recessive disorder. Patients with BSCL present with a distinct phenotype since subcutaneous fat is largely lacking and musculature has become more prominent. During childhood, diabetes and acanthosis nigricans evolve and female patients may develop hirsutism. Different genes encoding this entity have been described. Achalasia is a rare esophageal motility disorder, characterized by its distinct motility pattern with absent or incomplete lower esophageal sphincter (LES) relaxations. The exact cause of achalasia is yet unknown. Here, we describe a patient with achalasia in the context of BSCL, which might be linked by a shared pathophysiologic background, as evaluated in this case report.

Conclusion: In a BSCL patient presenting with gastrointestinal symptoms, a motility disorder of the gastrointestinal tract should be considered.

What is Known:

• Berardinelli-Seip congenital lipodystrophy (BSCL) and achalasia are both disorders characterized by low prevalence.

What is New:

• Co-existence of both diseases is described in this report. Linkage by a potential common pathophysiologic background is discussed in this paper.

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Title: Berardinelli-Seip syndrome and achalasia: a shared pathomechanism?
Authors: Rachel J. van der Pol
Marc A. Benninga
Jocelyne Magré
Lionel Van Maldergem
Joost Rotteveel
Marjo S. van der Knaap
Tim G. de Meij
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Pediatrics / Issue 7/2015
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-015-2556-y

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Berardinelli-Seip syndrome and achalasia: a shared pathomechanism?

Abstract

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