Shwachman-Bodian-Diamond Syndrome (SBDS), also known as Shwachman-Diamond Syndrome (SDS), is a rare autosomal recessive disorder characterized by exocrine pancreatic insufficiency, bone marrow dysfunction, and skeletal abnormalities. It is caused by mutations in the SBDS gene, which is located on the long arm of chromosome 7 at cytogenetic position 7q11 .
The SBDS gene is composed of five exons and has an associated mRNA transcript that is 1.6 kilobase pairs in length . Mutations in this gene lead to a loss of function, resulting in the clinical manifestations of the syndrome. The SBDS protein is involved in ribosome biogenesis and cellular stress responses .
The clinical features of SBDS are diverse and can vary significantly among affected individuals. The three major clinical features are:
There is no cure for SBDS, and treatment is primarily supportive. Management includes: