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Hypomagnesemia with normocalciuria
Clinical feature:
Definition: Isolated recessive hypomagnesemia is an autosomal recessive disorder characterized by normocalcemia and mental retardation. The underlying mutation affects pro-EGF sorting and prevents the hormone's effect on TRPM6 the magnesium channel in the dital convoluted tubule and probably in the intestine.
History: This disorder has recently (2007) detected by Groenestege. By investigating this disorder, the first hormone affecting magnesium homeostasis has been detected.
Epidemiology: A single family has been described yet.
Diagnostics:
Differential: The dominant type of isolated hypomagnesemia (IDH) only has a different inheritance pattern in consequence of which if not a de novo mutation, family history is instructive.
» » » Hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC) is characterized by hypocalcemia, renal calcium wastage, and nephrocalcinosis.
» » » Hypomagnesemia with secondary hypocalcemia (HSH) has no hypercalciuria, too, but hypocalcemia.
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