Shwachman-Diamond Syndrome

  • Chronic cyclical neutropenia & skeletal dysplasia

Non Skeletal Manifestations

  • Exocrine pancreatic insufficiency
  • Failure to thrive
  • Malabsorption syndrome – diarrhoea & steatorhea
  • Respiratory & cutaneous infection
  • Lab
    • Normal sweat test
    • Cyclical neutropenia
    • Thrombocytopenia
    • Pancytopenia

Skeletal Manifestations

  • Short stature
  • Metaphyseal chondreodysplasia
  • Coxa vara
  • AVN
  • Clinodactyly
  • Genu varum
  • Short flared ribs

Treatment

  • pancreatic supplements