Academic Journal

Hypophosphatemic rickets developed after treatment with etidronate disodium in a patient with generalized arterial calcification in infancy

التفاصيل البيبلوغرافية
العنوان: Hypophosphatemic rickets developed after treatment with etidronate disodium in a patient with generalized arterial calcification in infancy
المؤلفون: Kentaro Miyai, Daisuke Ariyasu, Chikahiko Numakura, Kaori Yoneda, Hitoshi Nakazato, Yukihiro Hasegawa
المصدر: Bone Reports, Vol 3, Iss C, Pp 57-60 (2015)
بيانات النشر: Elsevier, 2015.
سنة النشر: 2015
المجموعة: LCC:Diseases of the musculoskeletal system
مصطلحات موضوعية: Generalized arterial calcification of infancy, Hypophosphatemic rickets, Ectonucleotide pyrophosphatase/phosphodiesterase 1, Etidronate disodium, Diseases of the musculoskeletal system, RC925-935
الوصف: Ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) was originally reported as a responsible gene for generalized arterial calcification in infancy (GACI). Though the prognosis of GACI patients is poor because of myocardial infarction and heart failure in relation to medial calcification of the coronary arteries, some patients rescued by bisphosphonate treatment have been reported. Recently, ENPP1 is also reported as responsible for autosomal recessive hypophosphatemic rickets type 2. We show here a boy with homozygous ENPP1 mutations diagnosed as having GACI in early infancy. After the diagnosis, he was treated with etidronate disodium (EHDP) in combination with antihypertensive drugs. The calcification of major arteries was diminished and disappeared by the age of eight months. He also showed mild hypophosphatemia (2.6–3.7 mg/dl) from the age of one year. After the treatment with EHDP for five years, he showed genu valgum with hypophosphatemia (2.6 mg/dl). He was diagnosed as having hypophosphatemic rickets at the age of seven years. The findings that hyper-mineralization of the arteries and hypo-mineralization of the bone observed in the same patient are noteworthy. ENPP1 could be regarded as a controller of the calcification of the whole body at least in part.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2352-1872
Relation: http://www.sciencedirect.com/science/article/pii/S2352187215300139; https://doaj.org/toc/2352-1872
DOI: 10.1016/j.bonr.2015.09.001
URL الوصول: https://doaj.org/article/abc0d64dd52b4301948e91e03ea774d9
رقم الانضمام: edsdoj.bc0d64dd52b4301948e91e03ea774d9
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23521872
DOI:10.1016/j.bonr.2015.09.001