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Familial hypocalciuric hypercalcemia: review of three cases.
[familial hypocalciuric hypercalcemia]
Familial
hypocalciuric
hypercalcemia
,
also
denominated
familial
benign
hypercalcemia
,
is
an
uncommon
cause
of
hypercalcemia
.
It
is
caused
by
mutations
of
the
calcium-sensing
receptor
,
which
are
inherited
in
an
autosomal
dominant
high
-penetrance
fashion
.
Generally
,
patients
are
asymptomatic
,
and
heterozygote
cases
are
diagnosed
in
childhood
or
adulthood
,
when
diagnostic
work-up
of
an
incidentally
discovered
hypercalcemia
ensues
.
This
disorder
is
characterized
by
moderate
hypercalcemia
,
with
normal
parathormone
levels
and
low
urine
calcium
excretion
.
It
is
very
important
to
diagnose
this
condition
,
as
it
does
not
require
surgical
procedures
,
unlike
primary
hyperparathyroidism
,
which
needs
parathyroidectomy
in
50
%
of
cases
.
We
present
3
cases
of
familial
hypocalciuric
hypercalcemia
belonging
to
the
same
family
,
and
provide
an
updated
review
on
the
topic
.
Diseases
Validation
Diseases presenting
"with normal parathormone levels and low urine calcium excretion"
symptom
familial hypocalciuric hypercalcemia
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