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A novel mutation in the calcium-sensing receptor gene in an Irish pedigree showing familial hypocalciuric hypercalcemia: a case report.
[familial hypocalciuric hypercalcemia]
Familial
hypocalciuric
hypercalcemia
is
a
rare
autosomal
dominant
disorder
characterized
by
asymptomatic
and
non-
progressive
hypercalcemia
due
to
mutations
of
the
calcium-sensing
receptor
gene
.
Disorders
of
calcium
metabolism
are
very
common
in
the
elderly
,
and
they
can
coexist
with
familial
hypocalciuric
hypercalcemia
in
affected
families
.
We
describe
an
Irish
family
with
hypercalcemia
and
hypocalciuria
.
The
proband
,
an
80
-
year
-old
Irish
woman
,
presented
with
hypercalcemia
,
relative
hypocalciuria
,
and
an
elevated
parathormone
level
.
She
also
had
chronic
kidney
disease
stage
3
and
vitamin
D
deficiency
.
Two
of
her
sons
were
also
found
to
be
hypercalcemic
and
hypocalciuric
.
DNA
sequencing
identified
a
novel
missense
inactivating
mutation
in
the
calcium
sensing-receptor
gene
of
the
proband
and
her
two
hypercalcemic
sons
.
Familial
hypocalciuric
hypercalcemia
due
to
a
novel
mutation
in
the
calcium-sensing
receptor
gene
was
diagnosed
in
the
proband
and
her
two
sons
.
Disorders
of
calcium
metabolism
can
be
multifarious
in
the
elderly
.
We
suggest
that
testing
first
degree
relatives
for
calcium
levels
and
DNA
sequencing
may
have
a
role
in
the
assessment
of
elderly
patients
with
parathormone-related
hypercalcemia
.
Diseases
Validation
Diseases presenting
"a novel mutation in the calcium-sensing receptor gene was diagnosed in the proband"
symptom
familial hypocalciuric hypercalcemia
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