Presentation
It was observed that all patients presented polyuria, polydipsia and intestinal constipation. Of the five patients, four (1,2,3 and 4) presented unilateral cryptorchidy that was corrected surgically. [bjn.org.br]
The patient presents in infancy with failure to thrive, hepatosplenomegaly, and rickets. Neonatal presentation with hyperglycemia and polyuria has been reported. [emedicine.medscape.com]
We present a case of a young female who presented with proximal RTA and Fanconi syndrome and excellently responded to Vitamin D replacement. [sjkdt.org]
Snapshot An 18-year-old man with no significant past medical history presents with increased thirst and urinary frequency. [step2.medbullets.com]
The complete urinalysis data are presented in Table 2. [cureus.com]
Immune System
- Splenomegaly
The hematuria is combined with the fever of the correct type, positive gemokul′tura, formation of the heart, thromboembolic complications, splenomegaly, increase Monday. [slideplayer.com]
The clinical picture is complicated by cataracts, splenomegaly, and hepatomegaly, leading to cirrhosis. Hyperaminoaciduria, albuminuria, and galactosuria (but not glucosuria) appear early in the course of the disease. [emedicine.medscape.com]
Entire Body System
- Amyloidosis
Patients with multiple myeloma, amyloidosis, hereditary causes, Wilson's disease, heavy metal poisoning, and medications like tenofovir, aminoglycosides, and some chemotherapeutic agents like cisplatin, ifosfamide, and 6- mercaptopurine. [morningreporttwh.blogspot.com]
[…] kappa-light chain myeloma: improvement of tubular functions after treatment for myeloma. ( 2115147 ) Uchida S....Marumo F. 1990 6 Adult Fanconi syndrome and liver cirrhosis. ( 2134330 ) Nardone G....Budillon G. 1990 7 Adult Fanconi syndrome in primary amyloidosis [malacards.org]
[…] adults, Fanconi syndrome can be caused by various things that damage the kidneys, including: Certain medicines, including azathioprine, cidofovir, gentamicin, and tetracycline Kidney transplant Light chain deposition disease Multiple myeloma Primary amyloidosis [medlineplus.gov]
Similarly, amyloidosis can produce tubule damage which results in Type 2 RTA, as a part of its many manifestations. [derangedphysiology.com]
Acquired Intrinsic renal disease: acute tubular necrosis, interstitial nephritis, hypokalaemic nephropathy, myeloma, amyloidosis, Sjögren's syndrome, rejected transplant. Hyperparathyroidism. [patient.info]
- Short Stature
Affiliated tissues include kidney and bone, and related phenotypes are short stature and proteinuria [malacards.org]
Phenotypes Autosomal recessive inheritance ; Elevated alkaline phosphatase of bone origin ; Generalized aminoaciduria ; Glycosuria ; Hypercalciuria ; Hypophosphatemia ; Muscle weakness ; Osteopenia ; Proximal tubulopathy ; Renal insufficiency ; Rickets ; Short [mousephenotype.org]
Common birth defects seen with Fanconi anemia are short stature, thumb and arms abnormality (missing, misshapen or extra thumb, incompletely developed or missing forearm bone). [pediatriconcall.com]
Congenital anomalies include short stature; microcephaly; hypogenitalism; strabismus; anomalies of the thumbs, radii, kidneys, and urinary tract; mental retardation; and microphthalmia. [medical-dictionary.thefreedictionary.com]
Other causes of failure to thrive and short stature. Investigations The diagnosis is based on excessive loss of substances in the urine (eg, amino acids, glucose, phosphate, bicarbonate) in the absence of high plasma concentrations. [patient.info]
Jaw & Teeth
- Xerostomia
[…] diagnosis, M (P25 –P75), years Interval time, M(P25 –P75), years Initial symptoms Sicca symptoms, n (%) Parotid enlargement, n (%) Saprodontia, n (%) Purpura, n (%) Flaccid paralysis due to hypokalemia Fever Articular involvement, n (%) Hypocytosis, n (%) Xerostomia [docksci.com]
Urogenital
- Incontinence
(Genito Urinary Surgery) Urologist - Specializes in Treatment of Fanconi Renotubular Syndrome Plot No. 38/39, Main Gulmohar Road, JVPD Scheme, Juhu, Andheri West Andheri West, Mumbai +4 Recently consulted for: Urinary Incontinence Dr. [lybrate.com]
Hereditary nephritis (Al′porta syndrome) is characterized by a combination of gemoturii with reduced vision and hearing, evident in several generations. 41 Hematuria in conjunction with frequent urges to urinate, urinary incontinence, urinary disorders [slideplayer.com]
- Uremia
Calcium, phosphorus and nitrogen metabolism in rickets, osteomalacia and hyperparathyroidism complicating chronic uremia and in the osteomalacia of the adult Fanconi syndrome. ( 13916186 ) STANBURY S.W....LUMB G.A. 1962 31 Progressive muscular weakness [malacards.org]
Neurologic
- Spastic Quadriplegia
Recent FactMed Activity for TACROLIMUS Issue Description / Topic Timestamp QUESTION QUADRIPLEGIA I have been diagnosed with spastic quadriplegia I have undergone numerous tests including MRI of my brain and spine which have come back normal. [factmed.com]
- Flaccid Paralysis
In addition, there was a higher prevalence of purpura and flaccid paralysis resulting from hypokalemia and pancytopenia, and high IgG levels and low C3 levels were found at diagnosis in patients 35 years old and younger compared with patients older than [docksci.com]
Workup
Duggan all participated in the care of this patient, the diagnostic workup, data acquisition and interpretation, and article preparation. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved. [journals.lww.com]
Urine
- Glycosuria
Proximal tubular dysfunction, resembling adult Fanconi's syndrome, was suggested by an increased urinary loss of phosphate and urate and glycosuria. [jamanetwork.com]
Patients have polydipsia and polyuria with phosphaturia, glycosuria and aminoaciduria. They may develop hypophosphatemic rickets or osteomalacia, acidosis and a tendency toward dehydration. Some eventually develop renal insufficiency. [malacards.org]
[…] type 2 (proximal), hypophosphataemic rickets (children) or osteomalacia (adults), and renal glycosuria. [ 2, 3 ] Epidemiology The incidence of each cause of Fanconi's syndrome is different, although almost all of them are rather rare. [patient.info]
It characterized clinically by phosphaturia, glycosuria, and aminoaciduria. Symptoms Hyperphosphaturia Renal phosphate wasting is observed along with other symptoms of proximal tubular damage.. [moldiag.com]
This is manifested as glycosuria, aminoaciduria, phosphate wasting and mild proteinuria. [ijpediatrics.com]
Serum
- Hypophosphatemia
Laboratory evaluation revealed hypokalemia, hypocalcemia, hypophosphatemia, and a mild metabolic acidosis. [medbullets.com]
[…] to thrive developmental delay Physical exam signs of rickets bowed legs scoliosis teeth abnormalities Imaging Radiographs indications if bone disease is suspected findings pathological fractures Studies Labs electrolyte panel hyponatremia hypokalemia hypophosphatemia [step2.medbullets.com]
X-linked hypophosphatemic rickets, the most common form of hereditary hypophosphatemic rickets, is caused by phosphate wasting and manifests with hypophosphatemia and symptoms of rickets. [amboss.com]
Features on a basic blood panel includes hypokalemia, hypophosphatemia and metabolic acidosis. Rickets may occur in children while osteomalacia may occur in adults 1. [radiopaedia.org]
The classic clinical features of FS include polyuria, dehydration, hypokalemia, hypophosphatemia, metabolicacidosis and rickets in children or osteomalacia in adults. FS may be heritable or acquired. [indianjnephrol.org]
- Hypophosphatemia
Laboratory evaluation revealed hypokalemia, hypocalcemia, hypophosphatemia, and a mild metabolic acidosis. [medbullets.com]
[…] to thrive developmental delay Physical exam signs of rickets bowed legs scoliosis teeth abnormalities Imaging Radiographs indications if bone disease is suspected findings pathological fractures Studies Labs electrolyte panel hyponatremia hypokalemia hypophosphatemia [step2.medbullets.com]
X-linked hypophosphatemic rickets, the most common form of hereditary hypophosphatemic rickets, is caused by phosphate wasting and manifests with hypophosphatemia and symptoms of rickets. [amboss.com]
Features on a basic blood panel includes hypokalemia, hypophosphatemia and metabolic acidosis. Rickets may occur in children while osteomalacia may occur in adults 1. [radiopaedia.org]
The classic clinical features of FS include polyuria, dehydration, hypokalemia, hypophosphatemia, metabolicacidosis and rickets in children or osteomalacia in adults. FS may be heritable or acquired. [indianjnephrol.org]
- Cytopenia
Positive salivary gland biopsy, n (%) Arthritis Fever Fatigue Purpura, n (%) Flaccid paralysis due to hypokalemia Heart involvement Pulmonary involvement Liver involvement Renal involvement Autoimmune thyroiditis Family history of rheumatic disease Cytopenia [docksci.com]
- Urea Increased
2015-05-02 11:45:08 QUESTION BLOOD UREA INCREASED Hello, I have been on tacrolimus since my liver transplant in October 2014. I had a stroke 3 months later. [factmed.com]
Rhythm
- Nodal Tachycardia
Heart involvement was indicated by persistently altered electrocardiographic examinations (with the exception of nodal tachycardia and bradycardia), and/or structural abnormalities detected by ultrasound. [docksci.com]
Treatment
B.K.Kidney & GI Center Urologist - Specializes in Treatment of Fanconi Renotubular Syndrome Jaykar Smruti Building, Aarey Road, Goregaon West, Mumbai Goregaon Seven Hills Hospital Urologist - Specializes in Treatment of Fanconi Renotubular Syndrome Marol [lybrate.com]
Most of the time, treatment for RTA is effective. Kids whose RTA is caused by a genetic defect may need treatment for the rest of their lives. The good news is that sticking with their treatments lets kids remain healthy. Date reviewed: March 2014 [kidshealth.org]
Links: aetiology clinical features of Fanconi syndrome investigations treatment Fanconi's anaemia General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition [gpnotebook.co.uk]
Treatment of isotonic saline with electrolyte replacement was maintained. However, the electrolyte imbalance was not corrected, and the metabolic acidosis was aggravated by this treatment. [kjim.org]
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]
Prognosis
The prognosis is based on the specific condition and symptoms of each individual. [dovemed.com]
Prognosis of PRTA Although the underlying cause of proximal renal tubular acidosis may go away by itself, the effects and complications can be permanent or life-threatening. Treatment is usually successful. [medvin2u.net]
Prognosis Prognosis depends on the cause of the syndrome and the severity of renal and extrarenal manifestations. Prevention Avoiding exposure to potential toxins - eg, outdated tetracyclines and aminoglycosides. [patient.info]
Prognosis Careful balancing of body chemicals will usually produce good results. If there is an underlying disease responsible for the kidney malfunction, it may be the determining factor in the prognosis. [the-medical-dictionary.com]
The prognosis depends on the underlying disease. Call your health care provider if you have dehydration or muscle weakness. De Toni-Fanconi-Debré syndrome Bonnardeaux A, Bichet DG. Inherited disorders of the renal tubule. [medlineplus.gov]
Etiology
Etiology and clinical manifestations of renal tubular acidosis in infants and children. In: Post TW, ed. UpToDate. [amboss.com]
Clinical definition a type of renal tubular acidosis (type 2) in the proximal convoluted tubules (PCT) Epidemiology incidence hereditary forms occur in 1:40,000 demographics hereditary forms affect Caucasian children valproic acid-induced affects children Etiology [step2.medbullets.com]
Introduction Clinical definition a type of renal tubular acidosis (type 2) in the proximal convoluted tubules (PCT) Epidemiology incidence hereditary forms occur in 1:40,000 demographics hereditary forms affect Caucasian children Etiology hereditary conditions [medbullets.com]
Proximal renal tubular acidosis: a not so rare disorder of multiple etiologies. Nephrol Dial Transplant. 2012;27(12):4273-87. Long WS, Seashore MR, Siegel NJ, Bia MJ. [ijpediatrics.com]
Proximal renal tubular acidosis: A not so rare disorder of multiple etiologies. Nephrol Dial Transplant 2012;27:4273-87. [ PUBMED ] 6. Fukumoto Y, Tarui S, Tsukiyama K, et al. [sjkdt.org]
Epidemiology
We conducted the present study to survey the epidemiological characteristics of primary SS in China. [docksci.com]
Introduction Clinical definition a type of renal tubular acidosis (type 2) in the proximal convoluted tubules (PCT) Epidemiology incidence hereditary forms occur in 1:40,000 demographics hereditary forms affect Caucasian children valproic acid-induced [step2.medbullets.com]
Introduction Clinical definition a type of renal tubular acidosis (type 2) in the proximal convoluted tubules (PCT) Epidemiology incidence hereditary forms occur in 1:40,000 demographics hereditary forms affect Caucasian children Etiology hereditary conditions [medbullets.com]
[ 1 ] Fanconi's syndrome may be inherited or acquired and leads to aminoaciduria, glycosuria, phosphaturia, renal tubular acidosis (RTA) type 2 (proximal), hypophosphataemic rickets (children) or osteomalacia (adults), and renal glycosuria. [ 2, 3 ] Epidemiology [patient.info]
Tubulointerstitial nephritis and uveitis (TINU) syndrome: a systematic review of its epidemiology. demographics and risk factors Orphanet J Rare Dis. 2017;12(1):128. https://doi.org/10.1186/s13023-017-0677-2. [bmcnephrol.biomedcentral.com]
Pathophysiology
Through knowledge about the pathophysiology of this disorder new drugs may be developed to treat renal tubular transport disorders. [nature.com]
This review will describe the clinical characteristics, genetic underpinnings, and underlying pathophysiology of the major forms of FRST. [pubmed.ncbi.nlm.nih.gov]
Isolated proximal RTA Fanconi syndrome Pathophysiology The proximal convoluted tubule cells are unable to reabsorb HCO3- leading to increased HCO3- excretion in the urine. [amboss.com]
Organized by disease, the new edition of this popular guide has been completely revised and updated to reflect the latest information on definition, current pathophysiology, significant pre-, intra-, and postoperative factors of the disease process, anesthetic [books.google.ro]
Effectively diagnosing and treating patients is a concern because of the limited information available regarding the pathophysiology of the disease. [uspharmacist.com]
Prevention
Proper patient positioning is needed to prevent injury to rickety bones. [ijaweb.org]
Dehydration due to polyuria: prevent by ensuring adequate fluid intake; episodes of dehydration require either oral or intravenous fluid replacement. [patient.info]
[…] possible preventive strategy, for example, probenecid, an inhibitor of organic anion transporters, has been used to prevent cidofovir-induced tubular toxicity in patients with CMV infection. 48 Overall, given that strategies to prevent or treat drug-induced [academic.oup.com]
We believe early detection and treatment prevented further renal deterioration and the development of full Fanconi syndrome. [cureus.com]
Advising parents to prevent their children from exposure to lead and avoiding outdated antibiotics is an important part of child care. [uspharmacist.com]