A novel mutation of the calcium-sensing receptor gene in a German subject with familial hypocalciuric hypercalcemia and primary hyperparathyroidism

Autor: Norbert Weyerbrock, Cornelia Dotzenrath, Marios Papadakis, Natalie Meurer, Anke Meyer, Theodora Margariti
Rok vydání: 2017
Předmět:
Zdroj: HORMONES. 15:557-559
ISSN: 1109-3099
DOI: 10.14310/horm.2002.1711
Popis: Objective: The coexistence of FHH and primary hyperparathyroidism (PHPT) is extremely rare. Genetic evidence demonstrated a causal relationship between familial hypocalciuric hypercalcemia (FHH) and the presence of inactivating mutations in the calcium-sensing receptor gene. Method: We herein report a 60-year-old German patient, who was referred for hypercalcemia, and increased PTH levels, found incidentally during normal routine blood tests. Results: The patient underwent surgical exploration and the diagnosis of PHPT was histologically confirmed. One week later, the follow-up blood tests, revealed a recurrent hypercalcemia and the possibility of FHH was reconsidered. Genetic analysis was performed and revealed a novel heterozygous CaSR single missense mutation (Arg551Gly) within the extracellular CaSR domain. Conclusion: We report a novel heterozygous missense inactivating mutation within the extracellular CaSR domain in a German subject with FHH and histologically proven PHPT.
Databáze: OpenAIRE