{"id":4194,"date":"2021-10-29T04:46:32","date_gmt":"2021-10-29T04:46:32","guid":{"rendered":"https:\/\/sdsdeutschland.de\/?page_id=4194"},"modified":"2025-05-30T15:35:40","modified_gmt":"2025-05-30T13:35:40","slug":"sds","status":"publish","type":"page","link":"https:\/\/sdsdeutschland.de\/en\/sds\/","title":{"rendered":"THE SYNDROME"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:60px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">THE SHWACHMAN DIAMOND SYNDROME<\/h1><\/div><div class=\"fusion-text fusion-text-1\"><div class=\"wpb_text_column wpb_content_element vc_custom_1638205099775\">\n<div class=\"wpb_wrapper\">\n<p class=\"translation-block\">Shwachman-Diamond syndrome (SDS) is a very rare, congenital genetic disorder (incidence: 1:75,000) and is inherited in an autosomal recessive manner. The parents are carriers and are usually not affected themselves.<\/p>\n<p>Each parent has the same \u00b4spelling error\u00b4 on the same gene, which comes together with a chance of 25% when the child is born.<\/p>\n<p>To meet someone in life who has the same gene in them, to father a child with them, with a 25% chance of producing the syndrome, is about like winning the lottery.<\/p>\n<\/div>\n<p>Further information for your treating physicians (\u00a9 kinderblutkrankheiten.de) can be found <a href=\"https:\/\/www.kinderblutkrankheiten.de\/sites\/gpoh\/kinderkrebsinfo\/kinderblutkrankheiten\/content\/e97222\/e179061\/e275403\/e275888\/Patienteninformation_SDS.pdf\"><strong>here<\/strong>.<\/a><\/p>\n<p>You can find a collection of sources for ADEK individual prescriptions <a href=\"https:\/\/sdsdeutschland.de\/wp-content\/uploads\/2025\/05\/Sammlung-Bezugsquellen-ADEK-Individualrezepturen.pdf\"><strong>here<\/strong>.<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">The Disease<\/h2><\/div><div class=\"fusion-text fusion-text-2\"><div class=\"wpb_text_column wpb_content_element vc_custom_1638205099775\">\n<div class=\"wpb_wrapper\">\n<p>Discovered 1964 by Bodian and colleagues and in the same year first described by Shwachman and Diamond, the Syndrome is one of the little-researched diseases.<\/p>\n<p>The disease is characterized already in childhood by:<\/p>\n<p>\u2022 Disorder of bone marrow, hematopoiesis<\/p>\n<p>\u2022 Lack of formation of digestive enzymes in the pancreas<\/p>\n<p>\u2022 Increased risk of developing MDS or leukemia with advancing age<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Other features may include:<\/h2><\/div><div class=\"fusion-text fusion-text-3\"><div class=\"wpb_text_column wpb_content_element vc_custom_1638205099775\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<ul>\n<li class=\"translation-block\"><strong>Severe to life-threatening and frequent infections<br>\n<\/strong>Because the bone marrow does not produce enough neutrophils (a type of white blood cell), the body cannot mount a sufficient defense against bacteria during a sever <a href=\"https:\/\/en.wikipedia.org\/wiki\/Neutropenia\" target=\"_blank\" rel=\"noopener\"><strong>Neutropenia<\/strong><\/a> . Even a seemingly harmless infection often leads to more severe illness and consequently, lengthy hospital stays for SDS patients.<\/li>\n<li><strong><strong>Malnutrition and Fat-Soluble Vitamin Deficiency (ADEK)<\/strong><br \/>\n<\/strong>Due to the lack of <strong><a href=\"https:\/\/de.wikipedia.org\/wiki\/Exokrine_Pankreasinsuffizienz\" target=\"_blank\" rel=\"noopener\">digestive enzymes<\/a><\/strong>\u00a0in the pancreas, neither fat can be digested by itself, nor are vital vitamins absorbed. The syndrome is often not recognized until late, so that babies are already suffering from underweight, as the rich breast milk or baby food cannot be used by the intestine.<\/li>\n<li><strong>Short stature<br \/>\n<\/strong>Shwachman Diamond patients are mostly of a delicate stature.<\/li>\n<li><strong>Skeletal malformations<br \/>\n<\/strong>For example the thorax. Constriction can lead to massive problems with respiratory infections, since breathing is impaired. But other bones can also be affected.<\/li>\n<li><strong>Liver and kidney problems, as well as other complications<br \/>\n<\/strong>The statistics so far show that the liver values, which are usually too high, level off in adulthood. But not always. It is assumed that there are increased values \u200b\u200bbecause the entire gastrointestinal tract is irritated by the <strong><a class=\"\" href=\"https:\/\/de.wikipedia.org\/wiki\/Exokrine_Pankreasinsuffizienz\" target=\"_blank\" rel=\"noopener\">pancreatic insufficiency.<\/a><\/strong> irritiert ist.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">There is no cure yet<\/h2><\/div><div class=\"fusion-text fusion-text-4\"><div class=\"wpb_text_column wpb_content_element vc_custom_1638205099775\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element\">\n<div class=\"wpb_wrapper\">\n<div class=\"flex flex-grow flex-col max-w-full\">\n<div class=\"min-h-&#091;20px&#093; text-message flex flex-col items-start whitespace-pre-wrap break-words &#091;.text-message+&amp;&#093;:mt-5 juice:w-full juice:items-end overflow-x-auto gap-2\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"f8937ccc-9132-4487-892c-93aeaad722a3\">\n<div class=\"flex w-full flex-col gap-1 juice:empty:hidden juice:first:pt-&#091;3px&#093;\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<p>Symptomatic treatment consists of replacing the missing pancreatic enzymes. The patient takes this with every meal so that it can be digested.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"mt-1 flex gap-3 empty:hidden juice:-ml-3\">\n<div class=\"items-center justify-start rounded-xl p-1 flex\">\n<div class=\"flex items-center translation-block\"><a href=\"https:\/\/de.wikipedia.org\/wiki\/Neutropenie\" target=\"_blank\" rel=\"noopener\"><strong>Neutropenia<\/strong><\/a> is treated with <a href=\"https:\/\/de.wikipedia.org\/wiki\/G-CSF\" target=\"_blank\" rel=\"noopener\"><strong>G-CSF<\/strong><\/a>. Also <a href=\"https:\/\/de.wikipedia.org\/wiki\/Thrombozytopenie\" target=\"_blank\" rel=\"noopener\"><strong>Thrombozytopenia<\/strong><\/a> or Erythrozytopenia can occur. Bone marrow can become depleted for various reasons. In addition to <a href=\"https:\/\/en.wikipedia.org\/wiki\/Leukemia\" target=\"_blank\" rel=\"noopener\"><strong>leukemia<\/strong><\/a> a <a href=\"https:\/\/en.wikipedia.org\/wiki\/Myelodysplastic_syndrome\" target=\"_blank\" rel=\"noopener\"><strong>myelodysplastisches Syndrom (MDS)<\/strong><\/a> can also develop. In such cases a <a href=\"https:\/\/de.wikipedia.org\/wiki\/Stammzelltransplantation\" target=\"_blank\" rel=\"noopener\"><strong>stem cell transplant<\/strong><\/a> is necessary because the body cannot otherwise sustain life<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-4194","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/pages\/4194","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/comments?post=4194"}],"version-history":[{"count":11,"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/pages\/4194\/revisions"}],"predecessor-version":[{"id":5719,"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/pages\/4194\/revisions\/5719"}],"wp:attachment":[{"href":"https:\/\/sdsdeutschland.de\/en\/wp-json\/wp\/v2\/media?parent=4194"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}