Magnesium and Anti-phosphate Treatment with Bisphosphonates for Generalised Arterial Calcification of Infancy: A Case Report

Generalized arterial calcification of infancy (GACI) is a rare autosomal-recessive disorder, characterized by calcification of the internal elastic lamina, fibrotic myointimal proliferation of muscular arteries and resultant arterial stenosis. Treatment with bisphosphonates has been proposed as a me...

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Main Authors: Fatma Dursun (Author), Tülay Atasoy Öztürk (Author), Serçin Güven (Author), Heves Kırmızıbekmez (Author), Gülcan Seymen Karabulut (Author), Sevinç Kalın (Author), Betül Sözeri (Author)
Format: Book
Published: Galenos Yayincilik, 2019-09-01T00:00:00Z.
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Summary:Generalized arterial calcification of infancy (GACI) is a rare autosomal-recessive disorder, characterized by calcification of the internal elastic lamina, fibrotic myointimal proliferation of muscular arteries and resultant arterial stenosis. Treatment with bisphosphonates has been proposed as a means of reducing arterial calcifications in GACI patients, although there is no formalized treatment approach. The case reported here was a patient with severe GACI diagnosed at three months of age who had no response to bisphosphonate treatment, but clinically improved after the initiation of magnesium and anti-phosphate (using calcium carbonate) treatments. In patients unresponsive to bisphosphonate, magnesium and anti-phosphate treatment may be attempted.
Item Description:1308-5727
1308-5735
10.4274/jcrpe.galenos.2018.2018.0204