Hyperglycemic Hyperosmolar State as the Initial Presentation of Wolfram Syndrome: A Common Complication Revealing a Rare Disease-A Case Report

Clin Case Rep. 2025 Nov 28;13(12):e71563. doi: 10.1002/ccr3.71563. eCollection 2025 Dec. ABSTRACT Wolfram syndrome is a rare autosomal recessive disorder characterized by diabetes insipidus, diabetes mellitus, optic atrophy, and deafness (DIDMOAD). We present the case of a 19-year-old male with a history of juvenile-onset non-autoimmune diabetes mellitus who presented with fever, chills, seizures, altered sensorium, […]

A Rare Case of Wolfram Syndrome in a 27-Year-Old Male From Nepal

Cureus. 2025 Oct 25;17(10):e95410. doi: 10.7759/cureus.95410. eCollection 2025 Oct. ABSTRACT Wolfram syndrome is a rare autosomal recessive disorder characterized by diabetes mellitus, optic atrophy, and progressive neurodegeneration, often summarized by the acronym DIDMOAD (diabetes insipidus, diabetes mellitus, optic atrophy, and deafness). We report a 27-year-old male with a history of diabetes mellitus, progressive visual loss […]

CISD2 ensures adequate ER-mitochondrial coupling, critically supporting mitochondrial function in neurons

Acta Neuropathol Commun. 2025 Nov 26;13(1):242. doi: 10.1186/s40478-025-02132-7. ABSTRACT Loss of Cisd2, an iron-sulfur cluster transfer protein, results in type 2 Wolfram syndrome (WS2), a disorder associated with severe impacts on pancreatic β cell and neuronal functions. Cisd2 has been implicated in regulating intracellular Ca2+ signaling. However, the molecular basis and cellular consequences remain poorly […]

Expanding the spectrum of white matter abnormalities in Wolfram syndrome: a retrospective review

Front Neurol. 2025 Oct 31;16:1623314. doi: 10.3389/fneur.2025.1623314. eCollection 2025. ABSTRACT BACKGROUND AND OBJECTIVES: Wolfram syndrome (WFS) is a genetic disorder mainly caused by pathogenic variants in the WFS1 gene. It is characterized clinically by optic atrophy (OA), diabetes mellitus (DM), sensorineural hearing loss (SNHL), diabetes insipidus (DI), and variable neurological/psychiatric symptoms. WFS typically manifests before […]

Respiratory Failure Due to Strongyloides stercoralis Hyperinfection: A Case Report of a Neglected Tropical Disease

Cureus. 2025 Sep 24;17(9):e93162. doi: 10.7759/cureus.93162. eCollection 2025 Sep. ABSTRACT We report the case of a 25-year-old male patient admitted to the intensive care unit due to respiratory failure. The patient presented to the Emergency Department with shortness of breath, productive cough, and fever and was initially treated empirically for suspected community-acquired pneumonia of bacterial […]

Enhancing the diagnostic yield of monogenic diabetes in unresolved cases with early-onset hyperglycemia

Commun Med (Lond). 2025 Oct 24;5(1):438. doi: 10.1038/s43856-025-01031-1. ABSTRACT BACKGROUND: To improve the precision of molecular diagnosis by means of a comprehensive bidirectional phenotypic and genotypic reanalysis in cases of unresolved monogenic diabetes previously investigated using a targeted next-generation sequencing (tNGS) panel. METHODS: Molecular and clinical data from 128 unresolved cases referred between 2011 and […]

Transitioning Adolescents with Rare Forms of Diabetes to Adult Care: Challenges and Perspectives

Endocr Connect. 2025 Oct 24:EC-25-0451. doi: 10.1530/EC-25-0451. Online ahead of print. ABSTRACT BACKGROUND: Adolescents and young adults (AYA) with rare forms of diabetes-including Wolfram Syndrome (WS), Alström Syndrome (AS), Bardet-Biedl Syndrome (BBS), and Maturity-Onset Diabetes of the Young (MODY)-face unique challenges during transition to adult care. These challenges are intensified by multisystem endocrine involvement, neurocognitive […]