Long-term clinical outcome and the identification of homozygous gene mutations in a patient with vitamin D hydroxylation-deficient rickets type 1A

Vitamin D hydroxylation-deficient rickets type 1A (VDDR1A) is an autosomal recessively-inherited disorder caused by mutations in CYP27B1 encoding the 1α-hydroxylase enzyme. We report on a female patient with VDDR1A who presented with hypocalcemic seizure at the age of 13 months. The typical clinical...

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Main Authors: Ja Hyang Cho (Author), Eungu Kang (Author), Gu-Hwan Kim (Author), Beom Hee Lee (Author), Jin-Ho Choi (Author), Han-Wook Yoo (Author)
Format: Book
Published: Korean Society of Pediatric Endocrinology, 2016-09-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ja Hyang Cho  |e author 
700 1 0 |a Eungu Kang  |e author 
700 1 0 |a Gu-Hwan Kim  |e author 
700 1 0 |a Beom Hee Lee  |e author 
700 1 0 |a Jin-Ho Choi  |e author 
700 1 0 |a Han-Wook Yoo  |e author 
245 0 0 |a Long-term clinical outcome and the identification of homozygous gene mutations in a patient with vitamin D hydroxylation-deficient rickets type 1A 
260 |b Korean Society of Pediatric Endocrinology,   |c 2016-09-01T00:00:00Z. 
500 |a 2287-1012 
500 |a 2287-1292 
500 |a 10.6065/apem.2016.21.3.169 
520 |a Vitamin D hydroxylation-deficient rickets type 1A (VDDR1A) is an autosomal recessively-inherited disorder caused by mutations in CYP27B1 encoding the 1α-hydroxylase enzyme. We report on a female patient with VDDR1A who presented with hypocalcemic seizure at the age of 13 months. The typical clinical and biochemical features of VDDR1A were found, such as hypocalcemia, increased alkaline phosphatase, secondary hyperparathyroidism and normal 25-hydroxyvitamin D3 (25(OH)D3). Radiographic images of the wrist showed metaphyseal widening with cupping and fraying of the ulna and distal radius, suggesting rickets. A mutation analysis of the CYP27B1 gene identified a homozygous mutation of c.589+1G>A in the splice donor site in intron 3, which was known to be pathogenic. Since that time, the patient has been under calcitriol and calcium treatment, with normal growth and development. During the follow-up period, she did not develop genu valgum, scoliosis, or nephrocalcinosis. 
546 |a EN 
690 |a CYP27B1 
690 |a Hypocalcemia 
690 |a Vitamin D hydroxylation-deficient rickets type 1A 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Annals of Pediatric Endocrinology & Metabolism, Vol 21, Iss 3, Pp 169-173 (2016) 
787 0 |n http://e-apem.org/upload/pdf/apem-21-169.pdf 
787 0 |n https://doaj.org/toc/2287-1012 
787 0 |n https://doaj.org/toc/2287-1292 
856 4 1 |u https://doaj.org/article/a826db872cee4a6e9b5420eb55be7eb1  |z Connect to this object online.