# Juvenile Cataract and Chronic Diarrhea: A Single Etiology

**Authors:** Maria I Risto, Patrícia Sobrosa, Maria Vilela, Luciana Sousa

PMC · DOI: 10.7759/cureus.79760 · Cureus · 2025-02-27

## TL;DR

A young patient with chronic diarrhea and cataracts was diagnosed with a rare metabolic disorder, highlighting the importance of linking diverse symptoms to a single cause.

## Contribution

The paper presents a case emphasizing the need to consider a single underlying cause for multiple unrelated symptoms in young patients.

## Key findings

- Chronic diarrhea and bilateral cataracts in a young patient were linked to cerebrotendinous xanthomatosis.
- The case underscores the importance of recognizing rare metabolic disorders through diverse clinical signs.

## Abstract

Cerebrotendinous xanthomatosis (CTX) is a rare, autosomal recessive metabolic disorder characterized by an abnormal bile acid synthesis pathway, resulting in cholesterol accumulation that can deposit in different tissues, causing a variety of clinical manifestations. We present the clinical case of a young male patient referred to Internal Medicine for investigation of chronic diarrhea, later diagnosed with bilateral cataracts - classic symptoms of CTX, which led to his diagnosis. The authors aim to emphasize the importance of considering a single etiology in young patients with various seemingly unrelated signs/symptoms.

## Linked entities

- **Diseases:** cerebrotendinous xanthomatosis (MONDO:0008948), chronic diarrhea (MONDO:0044751)

## Full-text entities

- **Diseases:** autosomal recessive metabolic disorder (MESH:D008659), CTX (MESH:D019294), Cataract (MESH:D002386), Chronic Diarrhea (MESH:D003967)
- **Chemicals:** bile acid (MESH:D001647), cholesterol (MESH:D002784)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC11954438/full.md

## References

9 references — full list in the complete paper: https://tomesphere.com/paper/PMC11954438/full.md

---
Source: https://tomesphere.com/paper/PMC11954438