WOLCOTT–RALLISON SYNDROME: RAISING AWARENESS TODAY FOR BETTER CARE TOMORROW – A CASE REPORT

Wolcott–Rallison syndrome is a rare inherited disorder characterized mainly by permanent neonatal diabetes mellitus and multisystem complications. It is commonly associated with mutations in the Eif2AK3 gene and is inherited in an autosomal recessive manner. A 2year-old male child presented with poor feeding, excessive thirst, frequent urination, recurrent fever, vomiting, poor weight gain, and dehydration. Investigations revealed persistent hyperglycemia, elevated liver enzymes, and features suggestive of skeletal abnormalities. The child was managed with insulin therapy, fluid and electrolyte management, nutritional support, monitoring of liver function, and supportive care. Nursing management focused on blood glucose monitoring, hydration, nutrition, prevention of complications, growth monitoring, medication administration, and parental education. Early diagnosis and multidisciplinary management are important to improve outcomes and quality of life in children with Wolcott–Rallison syndrome.