Autosomal dominant hypophosphatemic rickets
General Information (adopted from Orphanet):
Synonyms, Signs: |
VITAMIN D-RESISTANT RICKETS, AUTOSOMAL DOMINANT HYPOPHOSPHATEMIA, AUTOSOMAL DOMINANT ADHR Autosomal dominant hypophosphatemia |
Number of Symptoms | 29 |
OrphanetNr: | 89937 |
OMIM Id: |
193100
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ICD-10: |
E83.3 |
UMLs: |
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MeSH: |
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MedDRA: |
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Snomed: |
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Prevalence, inheritance and age of onset:
Prevalence: | < 100 cases [Orphanet] |
Inheritance: |
Autosomal dominant [Orphanet] |
Age of onset: |
All ages [Orphanet] |
Disease classification (adopted from Orphanet):
Parent Diseases: |
Hypophosphatemic rickets
-Rare bone disease -Rare developmental defect during embryogenesis -Rare endocrine disease -Rare genetic disease -Rare renal disease |
Symptom Information:
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(HPO:0000117) | Renal phosphate wasting | 14 / 7739 | ||||
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(HPO:0000164) | Abnormality of the teeth | Occasional [Orphanet] | 291 / 7739 | |||
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(HPO:0001250) | Seizures | Occasional [Orphanet] | 1245 / 7739 | |||
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(HPO:0003473) | Fatigable weakness | 39 / 7739 | ||||
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(HPO:0004372) | Reduced consciousness/confusion | Occasional [Orphanet] | 73 / 7739 | |||
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(HPO:0002814) | Abnormality of the lower limb | 23 / 7739 | ||||
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(HPO:0004912) | Hypophosphatemic rickets | 13 / 7739 | ||||
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(HPO:0002659) | Increased susceptibility to fractures | Frequent [Orphanet] | 110 / 7739 | |||
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(HPO:0002653) | Bone pain | Very frequent [Orphanet] | 75 / 7739 | |||
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(HPO:0002748) | Rickets | 41 / 7739 | ||||
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(HPO:0002749) | Osteomalacia | 24 / 7739 | ||||
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(HPO:0003416) | Spinal canal stenosis | Occasional [Orphanet] | 28 / 7739 | |||
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(HPO:0004349) | Reduced bone mineral density | Very frequent [Orphanet] | 165 / 7739 | |||
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(HPO:0001510) | Growth delay | 295 / 7739 | ||||
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(HPO:0004322) | Short stature | Occasional [Orphanet] | 1232 / 7739 | |||
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(HPO:0001635) | Congestive heart failure | Occasional [Orphanet] | 232 / 7739 | |||
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(HPO:0001637) | Abnormality of the myocardium | Occasional [Orphanet] | 76 / 7739 | |||
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(HPO:0003155) | Elevated alkaline phosphatase | 52 / 7739 | ||||
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(HPO:0002148) | Hypophosphatemia | Very frequent [Orphanet] | 43 / 7739 | |||
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(HPO:0012252) | Abnormal respiratory system morphology | Occasional [Orphanet] | 14 / 7739 | |||
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(HPO:0001324) | Muscle weakness | Very frequent [Orphanet] | 859 / 7739 | |||
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(HPO:0003324) | Generalized muscle weakness | 48 / 7739 | ||||
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(HPO:0000006) | Autosomal dominant inheritance | 2518 / 7739 | ||||
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(HPO:0003829) | Incomplete penetrance | 85 / 7739 | ||||
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(OMIM) | Normocalcemia | 1 / 7739 | ||||
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(OMIM) | Pseudofractures (adult-onset) | 1 / 7739 | ||||
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(MedDRA:10044016) | Tooth abscess | 1 / 7739 | ||||
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(OMIM) | Inappropriately normal serum 1,25-dihydroxyvitamin D3 | 1 / 7739 | ||||
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(OMIM) | Normal serum parathyroid hormone (PTH) | 2 / 7739 |
Associated genes:
ClinVar (via SNiPA)
Gene symbol | Variation | Clinical significance | Reference |
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Additional Information:
Description: (OMIM) |
Autosomal dominant hypophosphatemic rickets is characterized by isolated renal phosphate wasting, hypophosphatemia, and inappropriately normal 1,25-dihydroxyvitamin D3 (calcitriol) levels. Patients frequently present with bone pain, rickets, and tooth abscesses. In contrast to X-linked dominant hypophosphatemic rickets (XLH; 307800), ... |
Clinical Description OMIM |
Harrison et al. (1966) reported a brother and 2 sisters with hypophosphatemia, whose father had hypophosphatemia, severe osteomalacia, and stunting of growth and whose mother was normal (also see Bianchine et al., 1971). Follow-up on the family (Harrison ... |
Molecular genetics OMIM |
In affected members of 4 unrelated families with ADHR, the ADHR Consortium (2000) identified 3 different missense mutations in the FGF23 gene (see, e.g., 605380.0001-605380.0002). Three of the families had been reported by Econs and McEnery (1997), Bianchine ... |