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Hereditary Hypercalcemia Caused by a Homozygous Pathogenic Variant in the CYP24A1 Gene: A Case Report and Review of the Literature
Joint Authors
Minucci, Angelo
Cappellani, Daniele
Brancatella, Alessandro
Kaufmann, Martin
Vignali, Edda
Canale, Domenico
De Paolis, Elisa
Capoluongo, Ettore
Jones, Glenville
Marcocci, Claudio
Cetani, F.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-08
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Loss of function mutations of CYP24A1 gene, which is involved in vitamin D catabolism, cause vitamin D-mediated PTH-independent hypercalcemia.
The phenotype varies from life-threatening forms in the infancy to milder forms in the adulthood.
Case Presentation.
We report a case of a 17-year-old woman with a history of nephrolithiasis, mild PTH-independent hypercalcemia (10,5mg/dL), and high serum 1,25(OH)2D concentrations (107pg/mL).
Other causes of hypercalcemia associated with the above biochemical signature were excluded.
Family history revealed nephrolithiasis in the sister.
Blood testing in first-degree relatives showed serum PTH in the low-normal range and 1,25(OH)2D at the upper normal limit or slightly elevated.
The CYP24A1 gene analysis revealed a known homozygous loss-of-function pathogenic variant (c.428_430delAAG, rs777676129, p.Glu143del).
The panel of vitamin D metabolites evaluated by liquid chromatography showed the typical profile of CYP24A1 mutations, namely, low 24,25(OH)2D3, elevated 25(OH)D3:24,25(OH)2D3 ratio, and undetectable 1,24,25(OH)3D3.
The parents and both the siblings harbored the same variant in heterozygosis.
We decided for a watchful waiting approach and the patient remained clinically and biochemically stable over a 24-month followup.
Conclusion.
CYP24A1 gene mutations should be considered in cases of PTH-independent hypercalcemia, once that more common causes (hypercalcemia of malignancy, granulomatous diseases, and vitamin D intoxication) have been ruled out.
American Psychological Association (APA)
Cappellani, Daniele& Brancatella, Alessandro& Kaufmann, Martin& Minucci, Angelo& Vignali, Edda& Canale, Domenico…[et al.]. 2019. Hereditary Hypercalcemia Caused by a Homozygous Pathogenic Variant in the CYP24A1 Gene: A Case Report and Review of the Literature. Case Reports in Endocrinology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1135749
Modern Language Association (MLA)
Cappellani, Daniele…[et al.]. Hereditary Hypercalcemia Caused by a Homozygous Pathogenic Variant in the CYP24A1 Gene: A Case Report and Review of the Literature. Case Reports in Endocrinology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1135749
American Medical Association (AMA)
Cappellani, Daniele& Brancatella, Alessandro& Kaufmann, Martin& Minucci, Angelo& Vignali, Edda& Canale, Domenico…[et al.]. Hereditary Hypercalcemia Caused by a Homozygous Pathogenic Variant in the CYP24A1 Gene: A Case Report and Review of the Literature. Case Reports in Endocrinology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1135749
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135749