hrp0097p1-73 | Fat, Metabolism and Obesity | ESPE2023

Insulin as a treatment modality for familial chylomicronemia syndrome in resource-limited settings- A Case series

Jebaseeli Hoole Thabitha , Suntharesan Jananie , Jayasundara Imalka , Siriwardne Dinendra , Naotunna Chamidri , Jasinghe Eresha , Atapattu Navoda

Introduction: Familial chylomicronemia syndrome (FCS) is an extremely rare monogenic disease with a prevalence of 1-2:1,000,000. Defects in lipoprotein lipase (LPL) are the main cause. Recurrent acute pancreatitis is a life-threatening complication of FCS. Insulin therapy is known to be a mode of treatment for hypertriglyceridemia.Case series: We present four children with genetically confirmed LPL deficiency followed up...

hrp0097p2-49 | Sex Differentiation, Gonads and Gynaecology, and Sex Endocrinology | ESPE2023

Case series: WT 1 mutation- an important differential in 46, XY disorders of sexual development (DSD)

Jebaseeli Hoole Thabitha , Siriwardne Dinendra , Naotunna Chamidri , Jayasundara Imalka , Atapattu Navoda

The Wilms' Tumour (WT1) gene is thought to play an important role in nephrogenesis, genitourinary development, and sex determination. We report three cases followed up in a tertiary care center in Sri Lanka. All three patients were referred for evaluation of ambiguous genitalia (stretched penile length <= 2cm, penoscrotal hypospadiasis in all three patients. Patient one had bilateral palpable testes in inguinal canal. Patients two and three did not have any palpable te...

hrp0098p1-122 | Bone, Growth Plate and Mineral Metabolism 2 | ESPE2024

Good response to bisphosphonate therapy in monozygotic twins with SCN8A mutations presenting with multiple fractures associated with seizures

Jebaseeli Hoole Thabitha , Wadu Akila Nimanthi Manimel , Minuri Kumarasiri Ishara , Nimali Seneviratne Sumudu

Introduction: Mutations of the SCN8A gene, which encodes a neuronal voltage-gated sodium channel are associated with an epileptic encephalopathy of varying severity and neurodevelopmental delay. A few cases are reported, where epileptic encephalopathy due to SCN8A mutations have been associated with multiple fractures and bone loss suggestive of juvenile osteoporosis.Case Presentation: Two girls, aged 19-months were refe...

hrp0098p3-228 | Sex Differentiation, Gonads and Gynaecology, and Sex Endocrinology | ESPE2024

The clinical conundrum of mixed gonadal dysgenesis: A case report

Jebaseeli Hoole Thabitha , Mudiyanselage Imalka Sumudu Kumarihamy Jayasundara Konara , Wadu Akila Nimanthi Manimel , Minuri Kumarasiri Ishara , Balasubramaniam Reha , Anuradha Wettasinghe Chathupani , Atapattu Navoda

Introduction: 45,X/46,XY mosaicism is rare difference/disorder of sex development(DSD) with an incidence of 1.7 per 10,000 newborns. Children with this type of DSD have varying phenotype of internal and external genitalia/ gonads, Turner-like features and increased risk of gonadal malignancy posing great clinical challenge.Case presentation: A 13-year-old girl was referred for primary amenorrhea. She had been investigate...