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Kabuki syndrome and Crohn disease in a child with familial hypocalciuric hypercalcemia.
[familial hypocalciuric hypercalcemia]
Familial
hypocalciuric
hypercalcemia
(
FHH
)
results
from
a
mutation
of
the
calcium
sensing
receptor
(
CASR
)
gene
and
typically
presents
as
asymptomatic
hypercalcemia
with
inappropriately
low
urinary
calcium
excretion
and
normal
or
mildly
elevated
levels
of
parathyroid
hormone
.
To
describe
a
case
of
FHH
associated
with
Kabuki
syndrome
and
Crohn
disease
.
G
enomic
DNA
was
screened
for
CASR
mutations
and
a
retrospective
chart
review
was
performed
.
Heterozygosity
was
observed
in
exon
3
,
which
encodes
a
portion
of
the
extra
-cellular
domain
.
Sequencing
revealed
a
n
.
476
T
>
G
nucleotide
transversion
,
predicting
a
non-conservative
substitution
of
arginine
for
leucine
at
codon
159
(
p
.
L
159
R
)
.
An
association
between
Kabuki
syndrome
and
autoimmune
disease
has
been
described
in
the
literature
,
which
may
explain
the
connection
between
Kabuki
syndrome
and
Crohn
disease
.
However
,
it
remains
unclear
if
there
is
a
link
between
FHH
,
Kabuki
syndrome
and
Crohn
disease
in
this
case
.
Diseases
Validation
Diseases presenting
"autoimmune disease"
symptom
acute rheumatic fever
coats disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
harlequin ichthyosis
inclusion body myositis
kabuki syndrome
malignant atrophic papulosis
omenn syndrome
sneddon syndrome
waldenström macroglobulinemia
wiskott-aldrich syndrome
This symptom has already been validated