Atypical presentation of familial hypomagnesemia with hypercalciuria and nephrocalcinosis in a patient with a new claudin-16 gene mutation

Familial hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC) is an autosomal recessive tubular disorder caused by mutations in genes that encode renal tight junction proteins claudin-16 or claudin-19, which are responsible for magnesium and calcium paracellular reabsorption in the thick...

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Veröffentlicht in:Clinical nephrology. Case studies 2019-05, Vol.7 (1), p.27-34
Hauptverfasser: Vianna, Júlia Guasti P, Simor, Thiago Gabriel, Senna, Pamella, De Bortoli, Michell Roncete, Costalonga, Everlayny Fiorot, Seguro, Antonio Carlos, Luchi, Weverton Machado
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container_end_page 34
container_issue 1
container_start_page 27
container_title Clinical nephrology. Case studies
container_volume 7
creator Vianna, Júlia Guasti P
Simor, Thiago Gabriel
Senna, Pamella
De Bortoli, Michell Roncete
Costalonga, Everlayny Fiorot
Seguro, Antonio Carlos
Luchi, Weverton Machado
description Familial hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC) is an autosomal recessive tubular disorder caused by mutations in genes that encode renal tight junction proteins claudin-16 or claudin-19, which are responsible for magnesium and calcium paracellular reabsorption in the thick ascending limb of Henle's loop. Progressive renal failure is frequently present, and most of the patients require renal replacement therapy still during adolescence. In this case report, we describe a new homozygous missense mutation on gene (c.592G>C, Gly198Arg) in a 24-year-old male patient diagnosed with FHHNC after clinical investigation due to incidental detection of altered routine laboratorial tests, who was firstly misdiagnosed with primary hyperparathyroidism. In addition, it illustrates an atypical presentation of this disease, with late onset of chronic kidney disease, improving the phenotype-genotype knowledge of patients with FHHNC.
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subjects Abdomen
Case Report
Case reports
Child development
Creatinine
Endocrinology
Genes
Internal medicine
Kidney diseases
Kidney stones
Laboratories
Medicine
Mutation
Nephrology
Patients
Phosphorus
Potassium
Proteins
Uric acid
title Atypical presentation of familial hypomagnesemia with hypercalciuria and nephrocalcinosis in a patient with a new claudin-16 gene mutation
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