Table 3.
comparing Johanson–Blizzard syndrome (JBS) to other inherited syndromes with pancreatic insufficiency.
| Condition | Cystic fibrosis | Schwachman‐diamond syndrome | JBS | Pearson marrow‐pancreas syndrome |
|---|---|---|---|---|
| Gene name (location) | CFTR (chr7q31.2) | SBSD (chr7q11) | UBR1 (chr15q15.2) | mtDNA deletion |
| Disease pattern | Ductular | Acinar | Acinar | Acinar |
| Pancreatic pathology | Lipomatosis | Lipomatosis | Lipomatosis | Fibrosis |
| Associated features | FTT, DM, and pulmonary manifestations | FTT, DM, short stature, neutropenia, and skeletal abnormalities | FTT, DM, facial dysmorphism, and SNHL | FTT, DM, sideroblastic anemia, and neuromuscular impairment |
| Exocrine PI complications | Persistent respiratory failure | Intermittent leukemia | Persistent EPI | Persistent EPI, early death |
| Treatment | PERT, and respiratory Support | PERT, G‐CSF, and BMT | PERT, hormone, and hearing aid | PERT |
Abbreviations: BMT, bone marrow transplantation; DM, diabetes mellitus; FTT, failure to thrive; G‐CSF, granulocyte‐colony stimulating factor; mtDNA, mitochondrial DNA, PERT, pancreatic enzyme replacement therapy; SBSD, Schwachman–Bodian–diamond syndrome gene.