Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report

Familial hypocalciuric hypercalcemia (FHH) is an autosomal dominant inherited disorder due to inactivating mutations in the calcium-sensing receptor (CaSR), less commonly in the G-protein subunit α11 (GNA11) or the adaptor-related protein complex 2, sigma 1 subunit (AP2S1) genes. It is characterized...

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Autores principales: Rosaria M. Ruggeri, Alfredo Campennì, Salvatore Cannavò
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Publicado: Accademia Peloritana dei Pericolanti 2021
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Acceso en línea:https://doaj.org/article/dfbb0ea72b49440c8655e2c0d9054986
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spelling oai:doaj.org-article:dfbb0ea72b49440c8655e2c0d90549862021-11-18T08:51:22ZFamilial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report1828-655010.13129/1828-6550/APMB.109.2.2021.CCS3https://doaj.org/article/dfbb0ea72b49440c8655e2c0d90549862021-08-01T00:00:00Zhttps://cab.unime.it/journals/index.php/APMB/article/view/3205https://doaj.org/toc/1828-6550Familial hypocalciuric hypercalcemia (FHH) is an autosomal dominant inherited disorder due to inactivating mutations in the calcium-sensing receptor (CaSR), less commonly in the G-protein subunit α11 (GNA11) or the adaptor-related protein complex 2, sigma 1 subunit (AP2S1) genes. It is characterized by mild to moderate hypercalcemia, hypocalciuria, and inappropriately normal or high PTH levels. The disorder is usually asymptomatic, and bone or renal involvement is rare. Adequate differential diagnosis between primary hyperparathyroidism and FHH is important to avoid unnecessary surgery. We report the case of a male patient with FHH showing biochemical heterogeneity to highlight the difficulties of differential diagnosisRosaria M. RuggeriAlfredo CampennìSalvatore CannavòAccademia Peloritana dei Pericolantiarticlehypercalcemiafamilial hypocalciuric hypercalcemiaprimary hyperparathyroidismcalcium-sensing receptor (casr)parathyroidMedicineRBiology (General)QH301-705.5ENAtti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche, Vol 109, Iss 2, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic hypercalcemia
familial hypocalciuric hypercalcemia
primary hyperparathyroidism
calcium-sensing receptor (casr)
parathyroid
Medicine
R
Biology (General)
QH301-705.5
spellingShingle hypercalcemia
familial hypocalciuric hypercalcemia
primary hyperparathyroidism
calcium-sensing receptor (casr)
parathyroid
Medicine
R
Biology (General)
QH301-705.5
Rosaria M. Ruggeri
Alfredo Campennì
Salvatore Cannavò
Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
description Familial hypocalciuric hypercalcemia (FHH) is an autosomal dominant inherited disorder due to inactivating mutations in the calcium-sensing receptor (CaSR), less commonly in the G-protein subunit α11 (GNA11) or the adaptor-related protein complex 2, sigma 1 subunit (AP2S1) genes. It is characterized by mild to moderate hypercalcemia, hypocalciuria, and inappropriately normal or high PTH levels. The disorder is usually asymptomatic, and bone or renal involvement is rare. Adequate differential diagnosis between primary hyperparathyroidism and FHH is important to avoid unnecessary surgery. We report the case of a male patient with FHH showing biochemical heterogeneity to highlight the difficulties of differential diagnosis
format article
author Rosaria M. Ruggeri
Alfredo Campennì
Salvatore Cannavò
author_facet Rosaria M. Ruggeri
Alfredo Campennì
Salvatore Cannavò
author_sort Rosaria M. Ruggeri
title Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
title_short Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
title_full Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
title_fullStr Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
title_full_unstemmed Familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
title_sort familial hypocalciuric hypercalcemia: grey zones of the differential diagnosis from primary hyperparathyroidism: a case report
publisher Accademia Peloritana dei Pericolanti
publishDate 2021
url https://doaj.org/article/dfbb0ea72b49440c8655e2c0d9054986
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AT alfredocampenni familialhypocalciurichypercalcemiagreyzonesofthedifferentialdiagnosisfromprimaryhyperparathyroidismacasereport
AT salvatorecannavo familialhypocalciurichypercalcemiagreyzonesofthedifferentialdiagnosisfromprimaryhyperparathyroidismacasereport
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