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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
"kabuki syndrome"
symptom
aniridia
familial hypocalciuric hypercalcemia
kabuki syndrome
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