Presentation
More than 700 full-color high-quality photographs as well as carefully chosen figures, algorithms, and tables to illustrate essential concepts, nuances of clinical presentation and technique, and decision making provide a visual grasp and better understanding [books.google.com]
A de novo heterozygous CASR mutation that is responsible for NHPT may also present in individuals with asymptomatic hypocalciuric hypercalcemia. [edmcasereports.com]
In addition, a 22-year-old man presented with hypercalcemia, fatigue, and generalized rib pain, and a 52-year-old woman who had an approximately 20-year history of hypercalcemia presented with headaches, abdominal pain, vomiting, fatigue, and musculoskeletal [nejm.org]
Presentation on theme: "Familial Hypocalciuric Hypercalcemia(FHH) CASR Disorders"— Presentation transcript: 1 Familial Hypocalciuric Hypercalcemia(FHH) CASR Disorders Gita Majdi, M.D, MRCP (UK), FRCPC,ABIM PGY5 Endocrinology Feb 2015 2 Objectives: Introduction [slideplayer.com]
Last updated May 3, 2018 Autosomal Dominant Hypocalcemia (ADH) is a genetic disorder that is inherited in an autosomal dominant manner, where one defective copy of either affected gene can cause the disorder if present in all the cells. [dovemed.com]
Entire Body System
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Inflammation
Yet, over a decade later, understanding of how this genetic defect leads to colonization by bacteria and inflammation in the lung remains elusive. معاينة هذا الكتاب » [books.google.com]
Hypercalcemia High blood calcium levels Increased calcium in blood [ more ] 0003072 Hypermagnesemia High blood magnesium levels 0002918 Hypocalciuria Low urine calcium levels 0003127 Multiple lipomas Multiple fatty lumps 0001012 Pancreatitis Pancreatic inflammation [rarediseases.info.nih.gov]
Eosinophilic Granulomatosis With Polyangiitis (EPGA) January 17, 2019 by Eosinophilic granulomatosis with polyangiitis (EGPA), also called Churg Strauss syndrome, is a rare, chronic disorder and a form of primary systemic autoimmune vasculitis characterized by inflammation [checkrare.com]
Respiratoric
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Pulmonary Disorder
Jordan Prutkin, Joel Moss Remedica, 2002 - 257 من الصفحات 0 مراجعات Our understanding of the relationship between genetics and pulmonary disorders is still evolving. [books.google.com]
Eyes
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Retinal Pigmentation
Jiang M et al. (1991) Guanine nucleotide-binding regulatory proteins in retinal pigment epithelial cells. [ ] 7. Strathmann MP et al. (1991) G alpha 12 and G alpha 13 subunits define a fourth class of G protein alpha subunits. [ ] 8. [moldiag.com]
Neurologic
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Aphasia
Microcephaly-capillary malformation syndrome Adult-onset distal myopathy due to VCP mutation Amyotrophic lateral sclerosis Behavioral variant of frontotemporal dementia Inclusion body myopathy with Paget disease of bone and frontotemporal dementia Progressive non-fluent aphasia [csbg.cnb.csic.es]
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Spastic Paraplegia
paraplegia - Paget disease of bone Spinocerebellar ataxia type 14 Synonym(s): - FHH type 1 Classification (Orphanet): - Rare bone disease - Rare developmental defect during embryogenesis - Rare endocrine disease - Rare genetic disease - Rare respiratory [csbg.cnb.csic.es]
Workup
[…] severe primary hyperparathyroidism Establishing a diagnosis of autosomal dominant hypoparathyroidism As part of the workup of idiopathic hypoparathyroidism As part of the workup of patients with Bartter syndrome Clinical Information Discusses physiology [mayomedicallaboratories.com]
Genetic testing is an important part of the workup in the assessment of patients with suspected MEN 2 syndrome, and the clinical features and tumor behavior are closely related to the specific RET germ-line mutation present. [entokey.com]
Treatment
Make the best clinical decisions with an enhanced emphasis on evidence-based practice and expert opinions on treatment strategies. Zero in on the most relevant and useful references with the aid of a more focused, concise bibliography. [books.google.com]
You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]
The loss-of-function associated with the Ser220 Gα11 mutant was rectified by treatment of cells with cinacalcet, which is a CaSR-positive allosteric modulator. [rdm.ox.ac.uk]
The cost of cinacalcet (Sensipar) ranges from 4,000 to 23,500 per year, depending on the dosage. 57 Treatment of CaSR Oral CaSR antagonists (calcilytics) are in development for the treatment of osteoporosis. [slideplayer.com]
Treatment No specific treatment is needed. Prognosis Familial hypocalciuric hypercalcemia is a benign disease. Complications Hypercalcemia can cause pancreatitis and chondrocalcinosis. Lipomas are frequent too. [renaltube.com]
Prognosis
Prognosis Familial hypocalciuric hypercalcemia is a benign disease. Complications Hypercalcemia can cause pancreatitis and chondrocalcinosis. Lipomas are frequent too. Bibliography Aida, K., Koishi, S., Inoue, M., Nakazato, M., Tawata, M., Onaya, T. [renaltube.com]
(Outcomes/Resolutions) The prognosis of Autosomal Dominant Hypocalcemia is reported to be dictated by the type and severity of symptoms in the affected individuals Individuals with mild signs and symptoms of ADH have better prognosis than those with severe [dovemed.com]
Prognosis FHH does not lower life expectancy and has a benign, stable course. The documents contained in this web site are presented for information purposes only. [orpha.net]
Quite often, hypercalcemia is a late finding in malignancy, and it often portends a poor prognosis. If the PTHrP is not elevated, physicians turn to the Vitamin D levels in the evaluation of hypercalcemia. [scorgloballifeamericas.com]
Etiology
Review Summary Nature Reviews Nephrology 2008年2月1日 Hereditary etiologies of hypomagnesemia PubMedおよびOvidデータベースを用いて文献検索を実施した。 [natureasia.com]
Etiology There are 3 genetic types of FHH based on chromosome location. FHH type 1 accounts for 65% of cases and is due to inactivating mutations in the CASR gene, localized to 3q21.1. This gene encodes the calcium-sensing receptor (CaSR). [orpha.net]
The etiology of MEN1 syndrome is menin inactivation. [hormones.gr]
Typically, diagnosis is made in the pursuit of uncovering the etiology of hypercalcemia. Calcium levels are often in the high normal range or slightly elevated. [en.wikipedia.org]
Epidemiology
[…] type 1 Classification (Orphanet): - Rare bone disease - Rare developmental defect during embryogenesis - Rare endocrine disease - Rare genetic disease - Rare respiratory disease Classification (ICD10): - Endocrine, nutritional and metabolic diseases - Epidemiological [csbg.cnb.csic.es]
Summary Epidemiology Prevalence is unknown. [orpha.net]
"Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research". J. Bone Miner. Res. 26 (10): 2317–37. doi : 10.1002/jbmr.483. PMC 3405491. PMID 21812031. [wikidoc.org]
Yu N et al. ”A record linkage study of outcomes in patients with mild primary hyperparathyroidism: The Parathyroid Epidemiology and Audit Research Study (PEARS).” Clinical Endocrinology, 2011 75:169–176. Alfadda TI et al. [scorgloballifeamericas.com]
Pathophysiology
From basic science and pathophysiology to clinical best practices, Brenner & Rector’s The Kidney is your go-to resource for any stage of your career. [books.google.com]
[…] severe primary hyperparathyroidism Establishing a diagnosis of autosomal dominant hypoparathyroidism As part of the workup of idiopathic hypoparathyroidism As part of the workup of patients with Bartter syndrome Clinical Information Discusses physiology, pathophysiology [mayomedicallaboratories.com]
"Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research". J. Bone Miner. Res. 26 (10): 2317–37. doi : 10.1002/jbmr.483. PMC 3405491. PMID 21812031. [wikidoc.org]
Cotter, Hypothesis review: are clathrin-mediated endocytosis and clathrin-dependent membrane and protein trafficking core pathophysiological processes in schizophrenia and bipolar disorder? Mol. [link.springer.com]
[…] inappropriately normal or the frankly elevated parathyroid hormone levels in these conditions result from a defect in calcium sensing that affects all parathyroid tissue, subtotal parathyroidectomy does not usually lead to long-term normocalcemia. 8 9 10 Pathophysiology [slideplayer.com]
Prevention
Kero J et al. (2007) Thyrocyte-specific Gq/G11 deficiency impairs thyroid function and prevents goiter development. [ ] 5. [moldiag.com]
The mainstay for treatment in patients with MEN 2, with early identification of germ-line mutations in the RET gene, is prophylactic thyroidectomy to prevent medullary thyroid carcinoma. [entokey.com]
Measures used for treatment can also be used for prevention. One aim is to prevent hyperphosphatemia. Treatment combines dietary phosphate restriction and phosphate binding agents, such as calcium carbonate or sevelamer. [merckmanuals.com]
Center for Research, Prevention and Treatment of Atherosclerosis Hadassah-Hebrew University Medical Center Jerusalem Israel 3. Pediatric Endocrinology, Armon Child Center Carmel Hospital, Clalit Health Service Haifa Israel 4. [link.springer.com]