Presentation
Clinical presentation and disease severity did not show an evident correlation between the mutation types. CONCLUSIONS: This report represents the first large familial study performed on Italian patients. [ncbi.nlm.nih.gov]
Entire Body System
-
Precocious Puberty
Moreover, the patient developed a precocious puberty at the age of 9 years. When we saw the patient 40 years after the diagnosis had been made, phosphaturia had returned to normal. [ncbi.nlm.nih.gov]
Jaw & Teeth
-
Prognathism
The length of the atlas correlated positively with mandibular prognathism (P 0.042). FUS correlated positively with the frontal and parietal thickness (P 0.034 and P 0.003, respectively). [ncbi.nlm.nih.gov]
-
Gingival Recession
Information regarding medical histories, dental histories, intraoral photos, probing depths (PD), calculated clinical attachment loss (AL), the presence of gingival recession, bleeding on probing, and full-mouth radiographic surveys were acquired. [ncbi.nlm.nih.gov]
Cardiovascular
-
Heart Block
Subsequently, he developed nephrocalcinosis, heart valve calcifications, severe calcific coronary artery disease, heart block, and congestive heart failure. [ncbi.nlm.nih.gov]
Ears
-
Progressive Hearing Loss
Both children had evidence of progressive hearing loss requiring the use of hearing aids. [ncbi.nlm.nih.gov]
Skin
-
Skin Lesion
A patient with ENS with right-sided serpiginous skin lesions, generalized weakness, and diffuse osteopenia associated with hypophosphatemic rickets is described. Medical management was enough to correct the clinical picture. [ncbi.nlm.nih.gov]
Musculoskeletal
-
Osteoporosis
This syndrome involves rickets with bone deformities in childhood and osteomalacia, osteoporosis, articular and para-articular pain, and fatigue in adulthood. [ncbi.nlm.nih.gov]
Hypophosphatemic rickets AR 20 68 FAH Tyrosinemia AR 39 101 FGF23 Tumoral calcinosis, hyperphosphatemic, Hypophosphatemic rickets AD/AR 10 16 KL Tumoral calcinosis, hyperphosphatemic AR 1 10 PHEX Hypophosphatemic rickets XL 262 428 SLC34A1 Nephrolithiasis/osteoporosis [blueprintgenetics.com]
-
Severe Osteoporosis
Besides congenital cataracts, renal tubular dysfunction and psychomotor retardation, the patient had also suffered from profound failure to thrive, growth hormone deficiency, severe osteoporosis with hypophosphatemic rickets, and progressive renal dysfunction [ncbi.nlm.nih.gov]
-
Osteophyte
Magnetic resonance imaging revealed a calcified intervertebral disc, as well as a posterior osteophytic bar causing marked cervical cord compression at C6/C7. [ncbi.nlm.nih.gov]
Face, Head & Neck
-
Mandibular Prognathism
The length of the atlas correlated positively with mandibular prognathism (P 0.042). FUS correlated positively with the frontal and parietal thickness (P 0.034 and P 0.003, respectively). [ncbi.nlm.nih.gov]
Psychiatrical
-
Distractibility
The operative method was gradual correction and lengthening using distraction osteogenesis by Ilizarov external fixator or Heidelberg external fixator. [ncbi.nlm.nih.gov]
Neurologic
-
Waddling Gait
CASE OUTLINE: A 2.2-year-old girl presented with prominent lower limb rachitic deformity, waddling gait and disproportionate short stature (79 cm, P5; -1,85 SD). [ncbi.nlm.nih.gov]
gait, muscle pain and weakness. [ultragenyx.com]
Workup
The authors suggest that serum FGF-23 measurement be included in the workup of this kind of rickets because there is growing evidence that in these situations the epidermal nevi produce a phosphaturic factor. [ncbi.nlm.nih.gov]
(See Etiology and Workup.) In XLH patients, the severe hypophosphatemia ( 2.5 mg/dL) is associated with elevated serum alkaline phosphatase. [emedicine.medscape.com]
Serum
-
Erythrocytosis
Nephrocalcinosis and erythrocytosis did not disappear even after recovery of renal function. [ncbi.nlm.nih.gov]
-
Karyotype Abnormal
Author information 1 Molecular Pathology Division, The Sarah Network of Rehabilitation Hospitals, Brasilia, Brazil. [email protected] Abstract Few studies describe karyotypic abnormalities in simple bone cysts. [ncbi.nlm.nih.gov]
Treatment
PURPOSE OF REVIEW: Description of the recent advances on the regulation of phosphate metabolism, gene mutations, and new approaches to treatment in patients with hypophosphatemic rickets. [ncbi.nlm.nih.gov]
Prognosis
SUMMARY: Identification of the causative mutation in patients with hypophosphatemic rickets may be useful to confirm the diagnosis and probably for prognosis. [ncbi.nlm.nih.gov]
Identification of the causative mutation in patients with hypophosphatemic rickets may be useful to confirm the diagnosis and probably for prognosis. [journals.lww.com]
Prognosis of Hypoph0sphatemic Rickets Apart from the short stature of most affected adults, the prognosis for a normal lifespan and normal health is good. Abnormal dentine formation causes late dentition and spontaneous abscess formation. [boneandspine.com]
The contribution of exogenous calcitriol as recommended in other cases of hypophosphatemic rickets, can favour renal deposits of calcium and the emergence of nephrocalcinosis, as well as worsen their prognosis. [revistanefrologia.com]
Etiology
We conducted a genetic analysis of patients with FGF23-related hypophosphatemic rickets to clarify their etiology and evaluate the prevalence of XLHR among this group. [ncbi.nlm.nih.gov]
Epidemiology
Genetic epidemiology of hereditary tyrosinemia in Quebec and in Saguenay-Lac-St-Jean. American journal of human genetics. 1990;47(2):302-7. 5. Herbst DA, Reddy KR. Risk factors for hepatocellular carcinoma. [ijp.mums.ac.ir]
Pathophysiology
We report a case of an adult untreated male XLH patient with primary HPT and give a brief review of the literature regarding the prevalence and pathophysiology of this complication. [ncbi.nlm.nih.gov]
Prevention
Abstract Hypophosphatemic rickets (HR) is a genetic disorder, which prevents sufficient reabsorption of phosphate in the proximal renal tubule, with increased phosphate excretion, resulting in rickets. [ncbi.nlm.nih.gov]