Neutropenia associated with proximal renal tubular dysfunction and mild bilateral cataract

We report an 11-year-old girl admitted to nephrology section due to growth failure, neutropenia, renal glycosuria, and proteinuria and also hypophosphatemic rickets. She had a history of repeated hospitalization because of respiratory or gastrointestinal infections. Bone marrow aspiration revealed hyper-cellular bone marrow with mild dysplastic pattern. Eyes examination showed mild bilateral posterior cataract. X-ray of the wrist demonstrated a bone age of 3.5 ±6 months with evidence of rickets. We could not find a syndrome that can explain these associations.