O raquitismo hipofosfatêmico é um grupo de doenças genéticas caracterizadas por hipofosfatemia, raquitismo e níveis séricos normais de cálcio.
Introdução
O que você precisa saber de cara
O raquitismo hipofosfatêmico é um grupo de doenças genéticas caracterizadas por hipofosfatemia, raquitismo e níveis séricos normais de cálcio.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 52 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 131 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
7 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive, X-linked dominant.
Transcriptional activator which activates the CDKN2A/ARF locus in response to Ras-Raf signaling, thereby promoting p53/TP53-dependent growth arrest (By similarity). Binds to the consensus sequence 5'-CCCG[GT]ATGT-3' (By similarity). Isoform 1 may cooperate with MYB to activate transcription of the ANPEP gene. Isoform 2 may antagonize transcriptional activation by isoform 1
Nucleus
Involved in actively transporting phosphate into cells via Na(+) cotransport in the renal brush border membrane (PubMed:12324554, PubMed:20335586, PubMed:26047794, PubMed:8327470). The cotransport has a Na(+):Pi stoichiometry of 3:1 and is electrogenic (By similarity)
Apical cell membraneCell membrane
Nephrolithiasis/osteoporosis, hypophosphatemic, 1
A disease characterized by decreased renal phosphate absorption, renal phosphate wasting, hypophosphatemia, hyperphosphaturia, hypercalciuria, nephrolithiasis and osteoporosis.
Involved in actively transporting phosphate into cells via Na(+) cotransport in the renal brush border membrane (PubMed:11880379). The cotransport has a Na(+):Pi stoichiometry of 2:1 and is electroneutral (By similarity)
Apical cell membrane
Hereditary hypophosphatemic rickets with hypercalciuria
Autosomal recessive form of hypophosphatemia characterized by reduced renal phosphate reabsorption and rickets. Increased serum levels of 1,25-dihydroxyvitamin D lead to increase in urinary calcium excretion.
Peptidase that cleaves SIBLING (small integrin-binding ligand, N-linked glycoprotein)-derived ASARM peptides, thus regulating their biological activity (PubMed:15664000, PubMed:18162525, PubMed:18597632, PubMed:9593714). Cleaves ASARM peptides between Ser and Glu or Asp residues (PubMed:18597632). Regulates osteogenic cell differentiation and bone mineralization through the cleavage of the MEPE-derived ASARM peptide (PubMed:18597632). Promotes dentin mineralization and renal phosphate reabsorpti
Cell membrane
Hypophosphatemic rickets, X-linked dominant
A disorder characterized by impaired phosphate uptake in the kidney, which is likely to be caused by abnormal regulation of sodium phosphate cotransport in the proximal tubules. Clinical manifestations include skeletal deformities, growth failure, craniosynostosis, paravertebral calcifications, pseudofractures in lower extremities, and muscular hypotonia with onset in early childhood. X-linked hypophosphatemic rickets is the most common form of hypophosphatemia with an incidence of 1 in 20000.
Nucleotide pyrophosphatase that generates diphosphate (PPi) and functions in bone mineralization and soft tissue calcification by regulating pyrophosphate levels (By similarity). PPi inhibits bone mineralization and soft tissue calcification by binding to nascent hydroxyapatite crystals, thereby preventing further growth of these crystals (PubMed:11004006). Preferentially hydrolyzes ATP, but can also hydrolyze other nucleoside 5' triphosphates such as GTP, CTP and UTP to their corresponding mono
Cell membraneBasolateral cell membraneSecreted
Ossification of the posterior longitudinal ligament of the spine
A calcification of the posterior longitudinal ligament of the spinal column, usually at the level of the cervical spine. Patients with OPLL frequently present with a severe myelopathy that can lead to tetraparesis.
Regulator of phosphate homeostasis (PubMed:11062477). Inhibits renal tubular phosphate transport by reducing SLC34A1 levels (PubMed:11409890). Up-regulates EGR1 expression in the presence of KL (By similarity). Acts directly on the parathyroid to decrease PTH secretion (By similarity). Regulator of vitamin-D metabolism (PubMed:15040831). Negatively regulates osteoblast differentiation and matrix mineralization (PubMed:18282132)
Secreted
Hypophosphatemic rickets, autosomal dominant
A disease 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.
Proton-coupled chloride transporter. Functions as antiport system and exchanges chloride ions against protons (PubMed:20466723). Important for normal acidification of the endosome lumen. May play an important role in renal tubular function. The CLC channel family contains both chloride channels and proton-coupled anion transporters that exchange chloride or another anion for protons. The absence of conserved gating glutamate residues is typical for family members that function as channels (Proba
Golgi apparatus membraneEndosome membraneCell membrane
Hypophosphatemic rickets, X-linked recessive
A renal disease belonging to the 'Dent disease complex', a group of disorders characterized by proximal renal tubular defect, hypercalciuria, nephrocalcinosis, and renal insufficiency. The spectrum of phenotypic features is remarkably similar in the various disorders, except for differences in the severity of bone deformities and renal impairment. XLHRR patients present with rickets or osteomalacia, hypophosphatemia due to decreased renal tubular phosphate reabsorption, hypercalciuria, and low molecular weight proteinuria. Patients develop nephrocalcinosis with progressive renal failure in adulthood. Female carriers may have asymptomatic hypercalciuria or hypophosphatemia only.
Variantes genéticas (ClinVar)
482 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 662 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
42 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Raquitismo hipofosfatêmico
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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
🟢 Recrutando agora
5 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.
Outros ensaios clínicos
72 ensaios clínicos encontrados, 8 ativos.
Publicações mais relevantes
Mostrando amostra de 200 publicações de um total de 602
The lived experience of adolescents with X-linked hypophosphataemia treated with burosumab at end of skeletal growth: a mixed-methods analysis.
X-linked hypophosphataemia is a rare, genetic, lifelong disorder caused by phosphate-regulating endopeptidase homologue X-linked pathogenic variants and, if left untreated, is associated with a progressive accumulation of musculoskeletal manifestations. Burosumab is a fully human monoclonal antibody that targets circulating fibroblast growth factor 23 and directly inhibits its activity, thereby correcting the abnormal phosphate homoeostasis in people with X-linked hypophosphataemia (XLH). The efficacy and safety of burosumab has been demonstrated in a programme of clinical trials in children and adults. Few data describe the experience of adolescents with XLH receiving burosumab treatment before and after skeletal growth ends. This prospective, multicentre, mixed-methods study described the lived experience of adolescents with XLH treated with burosumab at the end of skeletal growth (NCT05181839). Using patient-reported outcomes, wearable devices, and interviews, we found low median symptom severity scores for pain (0.00), stiffness (0.00), and fatigue (1.75) on a 0-10 scale. Symptoms were usually triggered by physical activity but rarely interfered with daily life. Some adolescents reported emotional concerns related to XLH and treatment transition. These insights can inform patient support during transition to adult care.
Composite Phenotype: Recurrent Nephrolithiasis and Chronic Kidney Disease in an Adult with Biallelic SLC34A3 and Monoallelic SLC3A1 Pathogenic Variants: Who is 'The Culprit'?
Kidney stones are common and can arise from many etiologies including genetic and environmental. Biallelic pathogenic variants in the solute carrier family 34-member 3 (SLC34A3) gene cause Hereditary Hypophosphatemic Rickets with Hypercalciuria (HHRH), while both monallaelic and biallelic pathogenic variants in SLC3A1 cause cystinuria. Here, we report the clinical phenotype of a patient with concomitant biallelic and monoallelic pathogenic variants in SLC34A3 and SLC3A1 respectively.
Refractory Rickets: Evaluation and Management.
Refractory rickets refers to a set of diseases which are identified by a lack of response to therapeutic doses used to treat vitamin D deficiency. A child presenting with refractory rickets can pose a diagnostic dilemma as many kidney diseases have been identified as possible causes. Inherited (e.g., distal renal tubular acidosis, Fanconi syndrome, hypophosphatemic rickets, vitamin D-dependent rickets, nephronophthisis) and acquired tubular disorders [e.g., posterior urethral valves, reflux nephropathy leading to chronic kidney disease (CKD)-mineral bone disorder] may be complicated by refractory rickets. Rarely, chronic liver disease and malabsorption states can also result in refractory rickets. Hypophosphatemia is a feature of both calcipenic as well as phosphopenic rickets. Common features accompanying refractory rickets include polyuria, polydipsia, hypokalemic paralysis, fractures, limb deformities, failure-to-thrive, short-stature, tetany and nephrocalcinosis. A careful history, examination and biochemical evaluation is required to delineate the underlying cause. Using a rational algorithmic approach, it is possible to determine the correct diagnosis in these cases. Consequent upon easy availability of next generation sequencing (NGS), the accurate diagnoses can be promptly made aiding in targeted therapy. Children with refractory rickets need regular follow-up to optimise the biochemical abnormalities, monitor growth and retard the progression of CKD. This article describes the evaluation of a child with refractory rickets using an algorithmic approach, underscores the importance of the necessary blood and urine biochemical tests as well as NGS for identification of the precise etiology of refractory-rickets; and discusses the pathophysiology and management of the most important causes of refractory-rickets.
Burosumab in infants with X-linked hypophosphatemic rickets: a case series.
X-linked hypophosphatemic rickets (XLH) is a rare inherited metabolic bone disorder caused by excess fibroblast growth factor 23 (FGF23), leading to hypophosphatemia and rickets. Burosumab, a human monoclonal antibody targeting FGF23, was approved for the treatment of XLH in April 2018. By 2022, the FDA extended its approval to include children as young as six months of age. To describe three infants with XLH who began burosumab therapy before one year of age and were monitored for at least one year. Case series. Clinical outcomes, including anthropometric measures, skeletal outcomes (Rickets Severity Score [RSS], mechanical axis deviation [MAD], and neck-shaft angle [NSA]), and laboratory parameters, were assessed in a real-world setting. Two patients demonstrated satisfactory linear growth, and one experienced growth faltering, possibly due to sleep-disordered breathing or phosphate imbalance. These patients received higher doses of burosumab than the current guideline recommendations for achieving treatment goals aimed at normalizing phosphate levels. The patient’s phosphate levels improved but did not normalize. Bone pain was not formally assessed, but parents reported improvements in their children’s conditions. Importantly, two patients with assessable mechanical axes demonstrated neutral mechanical axis deviations, indicating improved lower limb alignment and supporting the therapeutic efficacy of burosumab. All three patients had favorable RSS outcomes, and none developed long bone diaphyseal bowing or coxa vara following this early initiation of burosumab treatment. This case series demonstrated potential benefits of early initiation of burosumab treatment for XLH by showing improvements in growth, phosphate levels, and skeletal outcomes. Burosumab appears well tolerated in infancy, but further research is needed to refine dosing strategies and assess its long-term safety and therapeutic efficacy in young patients with XLH. Meticulous monitoring and individualized care are essential throughout treatment. This case series followed three infants with X-linked hypophosphatemic rickets (XLH) who initiated burosumab treatment at 6 months of age, filling a significant knowledge gap in early intervention. Despite requiring higher-than-recommended dosing, burosumab demonstrated favorable outcomes in terms of growth parameters and skeletal development over a minimum one-year follow-up. Two patients maintained normal growth trajectories, whereas one experienced temporary growth faltering, which resolved after adenoidectomy. Importantly, neutral mechanical axis deviation was achieved, indicating effective prevention of lower limb deformities. No significant adverse effects were observed. Despite limitations such as a small sample size and short follow-up, these findings suggest that early burosumab therapy can improve outcomes in infantile XLH patients. Further research is needed to refine dosing protocols and assess long-term safety and efficacy in this young population.
Treatment with Minicircle DNA Expressing a FGF23 Fragment in a Clinically relevant Mouse Model of X-Linked Hypophosphatemic Rickets.
X-linked hypophosphatemic rickets (XLHR) is a rare X-linked dominant skeletal dysplasia caused by phosphate regulating endopeptidase homolog X-linked (PHEX) gene mutation. Until now, the pathogenic role of PHEX has not been fully determined, and there has been no radical cure for XLHR. In the previous study, a novel PHEX variant (c.T1349C; p.L450P) is identified in a child with XLHR. The present study aims to reveal its pathogenic role and evaluate the therapeutic effects of the minicircle (MC)-DNA in XLHR. In vitro, the wildtype and mutant plasmids are introduced into HEK293 cells. In vivo, a new knock-in XLHR mouse model carrying the novel variant is established. Furthermore, this study makes the first attempt to perform gene therapy using a MC-DNA vector expressing a fragment of FGF23 (amino acids 180-251) in the Phex-T1349C mice. The new mouse model demonstrates the clinical manifestations of XLHR seen in the patient, including a gene dosage effect. Furthermore, MC-DNA is found to slightly increase blood phosphorus levels, significantly decrease serum alkaline phosphatase levels, and improve bone mineralization without apparent adverse effects for at least 6 weeks. This study suggests MC-DNA as a promisingly safe and effective therapeutic strategy to treat XLHR.
Publicações recentes
Case Report: A case of x-linked hypophosphatemic rickets complicated with polyostotic fibrous dysplasia caused by PHEX gene mutation and literature review.
🥇 Revisão sistemáticaSGK3 promoter deletion in late-onset hypophosphatemic rickets, a possible genetic cause of the disease.
Burosumab treatment in an adult with FGF23-mediated hypophosphatemia due to cutaneous skeletal hypophosphatemia syndrome.
🥇 Meta-análiseReference intervals for intact FGF 23 in healthy Korean adults: lower concentrations in young adulthood require age-specific partitioning.
Composite Phenotype: Recurrent Nephrolithiasis and Chronic Kidney Disease in an Adult with Biallelic SLC34A3 and Monoallelic SLC3A1 Pathogenic Variants: Who is 'The Culprit'?
📚 EuropePMC694 artigos no totalmostrando 195
Reference intervals for intact FGF 23 in healthy Korean adults: lower concentrations in young adulthood require age-specific partitioning.
Frontiers in endocrinologyThe lived experience of adolescents with X-linked hypophosphataemia treated with burosumab at end of skeletal growth: a mixed-methods analysis.
PloS oneComposite Phenotype: Recurrent Nephrolithiasis and Chronic Kidney Disease in an Adult with Biallelic SLC34A3 and Monoallelic SLC3A1 Pathogenic Variants: Who is 'The Culprit'?
Kidney & blood pressure researchA Japanese Patient With Craniosynostosis Due to X-Linked Hypophosphatemic Rickets Who Underwent Fronto-Orbital Distraction.
The Journal of craniofacial surgeryExpanding the Autosomal Recessive Hypophosphatemic Rickets Type I Carrier Phenotype and Adult Treatment with Burosumab.
Calcified tissue internationalUnveiling the unexpected: refractory rickets as an uncommon presentation of tyrosinemia type I.
BMC pediatricsOptimizing diagnosis and management of patients with ENPP1 deficiency: an expert opinion.
Journal of endocrinological investigationX-linked hypophosphatemic rickets: a rare case report.
Acta orthopaedica BelgicaRefractory Rickets: Evaluation and Management.
Indian journal of pediatricsTransition of Care in X-Linked Hypophosphatemic Rickets: From Pediatric to Adult Practice- A Narrative Review.
Journal of clinical research in pediatric endocrinologyAutoimmune osteomalacia: a novel FGF23-related hypophosphatemic osteomalacia.
Journal of bone and mineral metabolismPhenotypic Diversity in Autosomal Recessive Hypophosphatemic Rickets Type 2.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchCurrent advances of bone homeostasis imbalance in the cause of hereditary metabolic bone diseases.
EFORT open reviewsEarly Dental Manifestations and Multidisciplinary Management of X-Linked Hypophosphatemic Rickets in a Pediatric Patient: A Case Report.
Children (Basel, Switzerland)[Metabolic bone diseases : what's new in 2025].
Revue medicale suisseHeritable metabolic bone disorders: a guide to current genetic testing and clinical management for adult endocrinologists.
PathologyBurosumab in infants with X-linked hypophosphatemic rickets: a case series.
Orphanet journal of rare diseasesBiochemical evaluation of X-linked hypophosphatemia and tumor-induced osteomalacia: insights into diagnosis and management.
Frontiers in endocrinologyDental disease burden and management in children and young people with X-linked hypophosphataemia: a scoping review and service evaluation.
European archives of paediatric dentistry : official journal of the European Academy of Paediatric DentistrySix cases of ENPP1 pathogenic variants causing autosomal recessive hypophosphatemic rickets type 2 and generalized arterial calcification of infancy.
JBMR plusA case and review of fibroblast growth factor-23-mediated hypophosphatemic osteomalacia in the absence of pathogenic PHEX variants.
JBMR plusPatient and carer perceptions and acceptability of current management practices in paediatric X-linked hypophosphatemia treated with burosumab therapy.
JBMR plusBurosumab in adults with X-linked hypophosphatemia: real-world experience from a retrospective study in Sydney.
JBMR plusX-linked hypophosphatemia in childhood: dental involvement, diagnosis, and treatment.
European journal of paediatric dentistryLower Limb Deformity in Different Types of Rickets.
Journal of clinical medicineCharacterization of monogenic diabetes among Sudanese children: a multi-center experience from a population with high consanguinity.
Journal of pediatric endocrinology & metabolism : JPEMPediatric ABCC6 deficiency: a genotypic and phenotypic analysis.
Orphanet journal of rare diseasesA bibliometric approach to worldwide scientific production of familial hypophosphataemic rickets in Scopus (2000-2022).
Orphanet journal of rare diseasesThe prevalence of ENPP1 deficiency in humans with OPLL and the preclinical efficacy of ENPP1 enzyme therapy in OPLL mice.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchFAM20C and FAM20A in normal and ectopic mineralization: A focus on oro-renal syndromes.
Matrix biology : journal of the International Society for Matrix BiologySecondary Deformity After Hemiepiphysiodesis in Hypophosphatemic Rickets: The Role of Metabolic Control.
Journal of pediatric orthopedicsCase Report: Increased FGF23 and new insufficiency fractures at burosumab discontinuation in X-linked hypophosphatemia.
Frontiers in endocrinologyAutosomal recessive hypophosphatemic rickets type 2 (ARHR2): Is phosphate supplementation safe?
BoneTreatment with Minicircle DNA Expressing a FGF23 Fragment in a Clinically relevant Mouse Model of X-Linked Hypophosphatemic Rickets.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)A Rare Cause of Sacral Insufficiency Fracture in Adolescence: Autosomal Dominant Hypophosphatemic Rickets due to Fgf23 de novo P.Arg176trp Variant.
Journal of clinical research in pediatric endocrinologyTreatment of Children and Adults With X-Linked Hypophosphatemia With Calcitriol Alone: A Prospective, Open-Label Study.
The Journal of clinical endocrinology and metabolismDeformity Correction in an Adult With Hypophosphatemic Rickets.
CureusFeline vitamin D-dependent rickets type 2 caused by a missense variant in the vitamin D receptor gene.
The Journal of veterinary medical scienceSurgical and Nonsurgical Endodontic Treatment of a Patient with Vitamin D-resistant Rickets and Extraoral Sinus Tract: A Case Report.
Journal of endodonticsA case of autosomal dominant hypophosphatemic rickets.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyDistribution of blood pressure and its positive association with body mass index standard deviation score in pediatric patients with X-linked hypophosphatemia: a sub-group analysis from the SUNFLOWER observational study.
Endocrine journalA deep intronic PHEX variant in a large Danish family with hereditary hypophosphatemia and a milder skeletal, but more severe dental phenotype.
BoneEffect of burosumab conversion on calciuria and nephrocalcinosis in children with XLH: A real-world cohort study.
Bone reportsBurosumab prevents further height deficit in toddlers affected by XLH.
Endocrine connectionsVariants of unknown significance are common in brushite stone formers undergoing genetic testing for nephrolithiasis.
UrolithiasisA novel phex gene variant causes non-syndromic tooth agenesis.
BMC oral healthConcordant X-linked hypophosphatemic rickets in monozygotic twins: diagnostic challenges and a novel genetic insight.
Endocrinology, diabetes & metabolism case reportsImprovement in Physical Function Associated With Burosumab in a Patient With X-linked Hypophosphatemia: A Case Report.
CureusReal-World Effectiveness of Burosumab in Adults with X-Linked Hypophosphataemia (XLH) in the UK.
Calcified tissue internationalAdvancing Patient Evidence in XLH (APEX): Baseline analysis of a global data unification program.
BoneClinical and Laboratory Characteristics of Patients with Genetic Rickets: A Single-Center Experience with Long-Term Outcomes.
Turkish archives of pediatricsPeriodontal Manifestations of Systemic Diseases.
Journal of periodontal researchIdentification of a Novel Homozygous SLC34A1 Missense Mutation and a Heterozygous SLC34A3 Deletion in an Infant with Nephrocalcinosis, Failure to Thrive, and Hypercalcemia.
International journal of molecular sciencesX-Linked Hypophosphatemia: Role of Fibroblast Growth Factor 23 on Human Skeletal Muscle-Derived Cells.
Calcified tissue internationalClinical Characteristics and Management of Rare Metabolic Bone Diseases: An Audit of the Rare Metabolic Bone Disease Registry of India.
Calcified tissue internationalOral Health Status and Parental Awareness in Children with X-Linked Hypophosphatemic Rickets: A Case-Control Study.
Reports (MDPI)Challenges in Estimating Renal Function in X-linked Hypophosphatemia Because of Formula Overestimation and FGF23 Effects.
The Journal of clinical endocrinology and metabolismLower limb deformity correction in X-linked hypophosphatemia (XLH) with intramedullary nails: A strategy to reduce deformity recurrence and improve limb function.
BoneHereditary Hypophosphatemic Rickets with Hypercalciuria - Importance of Further Evaluation If Clinical Suspicion is Strong.
Journal of clinical research in pediatric endocrinologyA case report of X-linked hypophosphatemia combined with primary hyperparathyroidism.
Frontiers in endocrinology3D-printed model combined with the Ilizarov technique in the treatment of genu varum in children with hypophosphatemic rickets.
Journal of orthopaedic surgery and research[Delayed bone healing after osteotomy - what the family history revealed].
PraxisThe genetic polymorphism of XPR1 associated with Fanconi syndrome in Chinese patients with X-linked hypophosphatemia.
Journal of endocrinological investigationA Novel PHEX Mutation in X-Linked Hypophosphataemic Rickets With Reduced Expression of NaPi-IIa and NaPi-IIc in the Proximal Tubules: A Case Report.
Nephrology (Carlton, Vic.)Autosomal dominant hypophosphatemic rickets: a case report of two sisters with a novel FGF-23 mutation.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAUnexpected SLC34A3 rickets in a case of suspected distal myopathy.
Pediatric nephrology (Berlin, Germany)Prevalence of low birth weight, short length, and body disproportion at birth in patients with skeletal dysplasias: A retrospective study.
Archivos argentinos de pediatria3D-DXA reveals significant effects of burosumab on trabecular and cortical skeletal envelopes in symptomatic adults with X-linked hypophosphatemia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchIron infusion in pregnancy and dental dysplasia in children-is there a link?
Frontiers in pediatricsPamidronate Treatment of a Patient with Opsismodysplasia and a Novel INPPL1 Variant: Efficacy, Mechanism, and Clinical Outcomes.
Molecular syndromologyTargeted treatment of hypophosphatemia with trametinib in HRAS-related mosaic RASopathy.
Orphanet journal of rare diseasesClustered Structural Variants Involving <italic>PHEX</italic> at Xp22 in a Female Patient with X-Linked Hypophosphatemia.
Cytogenetic and genome researchExperts' consensus on the management and treatment of individuals with X-linked hypophosphatemia across lifespan.
Journal of endocrinological investigation[Surgical strategies for osteotomy correction of severe lower limb deformities in hypophosphatemic rickets].
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgeryFirst case of preimplantation genetic testing of X-linked dominantly inherited hypophosphatemia family lines using next-generation sequencing technology.
European journal of obstetrics, gynecology, and reproductive biologyExtracellular Matrix Proximity Biotinylation Identifies Periostin as a PHEX Proteolytic Substrate.
FASEB journal : official publication of the Federation of American Societies for Experimental BiologyA Mosaic PHEX Variant in Hypophosphatemic Rickets: Distinguishing Postzygotic Mutation from Sex Chromosome Aneuploidy.
Calcified tissue internationalPHEX Protein in the Parathyroid Gland Contributes to Phosphate Sensing.
The Journal of clinical endocrinology and metabolismSwitching from active vitamin D and phosphate supplementation to burosumab significantly corrects lower limb malalignment in pediatric X-linked hypophosphatemia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchImprovements in hearing loss with bone-targeted enzyme replacement therapy are associated with corrected hypomineralization and osteocyte properties of auditory ossicles in Enpp1-deficient mice.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchGrowth dynamics of transversal body dimensions and proportions, with related clinical determinants in children with X-linked hypophosphatemia treated with phosphate supplements and active vitamin D.
Pediatric nephrology (Berlin, Germany)Inadequate pediatric reference ranges impede the diagnosis of X-linked hypophosphatemia and hypophosphatasia in Austria.
Wiener klinische WochenschriftReal-world characteristics & disease history of patients with X-linked hypophosphatemia before treatment with burosumab.
Archives of osteoporosisOncogenic rickets diagnosed at age 8 and the risk of persistent rickets: a rare case of pediatric-onset tumor-induced osteomalacia.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAPredictors of response to burosumab in adults with X-linked hypophosphatemia: real-world data from an Italian cohort.
Journal of endocrinological investigationReal-world effectiveness of burosumab vs oral phosphate and active vitamin D in adults with X-linked hypophosphatemia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchQuality of life of 26 family members from four generations with X-linked hypophosphatemia: a cross-sectional study.
Frontiers in endocrinologyA Child with Cutaneous-Skeletal Hypophosphatemia Syndrome Caused by a Mosaic HRAS Mutation: Outcome of Treatment with Anti-FGF23 Antibody.
Calcified tissue internationalThe Diagnosis and Therapy of XLH.
Calcified tissue internationalThe impact of monoallelic inactivation mutations in the ENPP1 gene on pediatric skeletal development: a case report and literature review.
Frontiers in endocrinologyAdvancing patient evidence in XLH (APEX): rationale and design of a real-world XLH global data unification program.
Frontiers in endocrinologyX-Linked Hypophosphatemia Management in Adults: An International Working Group Clinical Practice Guideline.
The Journal of clinical endocrinology and metabolismCase report: Reversible Fanconi syndrome due to vitamin D deficiency in a patient with epilepsy harbouring a pathogenic variant in the SLC34A1 gene.
Frontiers in endocrinologyCraniosynostosis among children with X-linked hypophosphatemia: A systematic review and meta-analysis.
BoneVitamin D dependent rickets type 2A: a case series of two siblings with novel mutation in vitamin D receptor gene responded to high dose oral calcium and calcitriol.
Journal of pediatric endocrinology & metabolism : JPEMCharacterization of adult patients with X-linked hypophosphatemia at a specialized center in Buenos Aires, Argentina.
Archives of endocrinology and metabolismSignificance of assessing the severity of craniosynostosis in patients with X-linked hypophosphatemia (XLH) at diagnosis.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyPhenotypic characterization of ENPP1 deficiency: generalized arterial calcification of infancy and autosomal recessive hypophosphatemic rickets type 2.
JBMR plusTumor-induced rickets/osteomalacia (TIO): diagnostic pitfalls and therapeutic options.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchOffice Blood Pressure and Obesity in Children with X-Linked Hypophosphatemia.
Calcified tissue internationalSurgical treatment of the varus knee caused by vitamin D-resistant rickets. Report of two cases and review of the literature.
International journal of surgery case reportsFGF23-Mediated Hypophosphatemic Rickets: Phenotype, Genotype, and Comparison to Non-FGF23-Mediated Forms.
Indian pediatricsMethodology for the international working group clinical practice guidelines on X-linked hypophosphatemia in children and adults.
Journal of bone and mineral metabolismCurrent Practices in Monitoring Children and Adults With X-linked Hypophosphatemia: A Global Survey of Expert Experience.
The Journal of clinical endocrinology and metabolismPrevalence of Comorbid Hyperparathyroidism and Its Association with Renal Dysfunction in Asian Patients with X-Linked Hypophosphatemic Rickets/Osteomalacia.
Calcified tissue internationalDisease burden and health-related quality of life among children with X-linked hypophosphataemia in China: a national cross-sectional survey.
BMJ paediatrics openX-linked hypophosphataemia.
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekkeX-Linked Hypophosphataemia and Burosumab: A Systemic Disease With a New Treatment.
Journal of paediatrics and child healthDental Manifestations in Children Affected by Hypophosphatemic Rickets: A Systematic Review and Meta-Analysis.
Children (Basel, Switzerland)Pain, Quality of Life, and Mental Health in Adults with X-linked Hypophosphatemia: A Cross-sectional Study.
The Journal of clinical endocrinology and metabolismX-Linked Hypophosphatemia Management in Children: An International Working Group Clinical Practice Guideline.
The Journal of clinical endocrinology and metabolismBurosumab Treatment in a Girl With Cutaneous Skeletal Hypophosphatemia Syndrome: 2-Year Follow-Up.
American journal of medical genetics. Part AHypophosphatemic rickets in an Italian multicentric cohort of 24 subjects: a clinical and molecular characterisation.
EndocrineA deep intronic PHEX variant associated with X-linked hypophosphatemia in a Finnish family.
JBMR plusHypophosphatemia in pregnancy: A case report.
Nigerian medical journal : journal of the Nigeria Medical Association18F-Sodium Fluoride PET/CT as a Tool to Assess Enthesopathies in X-Linked Hypophosphatemia.
Calcified tissue internationalEtiology, clinical characteristics, genetic profile, and outcomes of children with refractory rickets at a referral center in India: a cohort study.
Pediatric nephrology (Berlin, Germany)Hypophosphatemic Rickets as a Key Sign for the Diagnosis of Hereditary Tyrosinemia Type 1: Case Reports and Narrative Review of the Literature.
Revista medica de ChileCase report: Prolonged and severe hungry bone syndrome after parathyroidectomy in X-linked hypophosphatemia.
Frontiers in endocrinologyClinical practice recommendations for the diagnosis and management of X-linked hypophosphataemia.
Nature reviews. NephrologyClinical, Radiographic, and Molecular Analysis of Patients with X-Linked Hypophosphatemic Rickets: Looking for Phenotype-Genotype Correlation.
Diagnostics (Basel, Switzerland)Systematic Review: Efficacy of Medical Therapy on Outcomes Important to Pediatric Patients With X-Linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismRespiratory insufficiency as a rare presentation in a child with vitamin D-dependent rickets type 1.
BMJ case reportsBase of Skull & Spinal Canal Narrowing in an Adolescent with Autosomal Recessive Hypophosphatemic Rickets Type 2.
Calcified tissue internationalMutant Fam20c knock-in mice recapitulate both lethal and non-lethal human Raine Syndrome.
BMC molecular and cell biologyVitamin D Dependent Rickets 2A With Alopecia: Three Cases With Novel Genetic Variants.
Pediatric dermatologySystematic Review: Efficacy of Medical Therapy on Outcomes Important to Adult Patients With X-Linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismIntragenic duplication of PHEX in a girl with X-linked hypophosphatemia: a case report with review of literature.
Endocrine journalNephrocalcinosis tendency does not worsen under burosumab treatment for X-linked hypophosphatemic rickets: a multicenter pediatric study.
Frontiers in pediatricsUnusual PHEX variants implicate uncommon genetic mechanisms for X-linked hypophosphatemic rickets.
JBMR plusPhosphorus-independent role of FGF23 in erythropoiesis and iron homeostasis.
PloS oneUse of Whole-Exome Sequencing and Pedigree Analysis to Identify X-linked Hypophosphatemia in Saudi Arabian Families.
Journal of the Endocrine SocietyNo longer to be ignored: Hypophosphatemia following intravenous iron administration.
Reviews in endocrine & metabolic disordersNewly identified intronic and known pathogenic point mutations in SLC34A3/NPT2c cause hereditary hypophosphatemic rickets with hypercalciuria.
Genes & diseasesThe care of the patient with X-linked hypophosphatemic rickets.
European journal of paediatric dentistryMetabolic Bone Disease: An Overview.
Missouri medicineGenetic, Clinical, and Biochemical Characterization of a Large Cohort of Palestinian Patients With Fanconi-Bickel Syndrome.
Clinical geneticsBone Microarchitecture Evaluated by HR-PQCT in Chinese Adolescent and Pediatric Patients With X-Linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismTertiary hyperparathyroidism in two paediatric patients with X-linked hypophosphatemia during Burosumab treatment.
BoneRNA-first Approach Identifies Deep Intronic PHEX Variants in X-linked Hypophosphatemic Rickets.
The Journal of clinical endocrinology and metabolismBurosumab, a Transformational Treatment in a Pediatric Patient With Cutaneous-Skeletal Hypophosphatemia Syndrome.
JCEM case reportsImpact of X-linked hypophosphatemic rickets/osteomalacia on health and quality of life: baseline data from the SUNFLOWER longitudinal, observational cohort study.
JBMR plusEffective bone healing after corrective osteotomy in a patient with FGF23-related hypophosphatemic disease using short-term burosumab treatment.
Journal of the Formosan Medical Association = Taiwan yi zhiLower limb maltorsion and acetabular deformity in children and adolescents with X-linked hypophosphatemia.
Frontiers in endocrinologyPharmacodynamic Exposure-Response Analysis of Fracture Count Data Following Treatment with Burosumab in Patients with XLH.
Journal of clinical pharmacologyClinical presentation and burden of ENPP1 deficiency in adults.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieAutosomal recessive hypophosphatemic rickets type 2 due to ENPP1 deficiency (ARHR2).
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieENPP1 deficiency: almost ready for prime time!
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieFGF23 and Cell Stress in SaOS-2 Cells-A Model Reflecting X-Linked Hypophosphatemia Dynamics.
Cells[Clinical value of renal phosphorus threshold in the diagnosis and treatment X-linked hypophosphatemic rickets in children].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsRare diseases: a challenge in paediatric dentistry.
European journal of paediatric dentistryMeta-analysis and systematic review: burosumab as a promising treatment for children with X-linked hypophosphatemia.
Frontiers in endocrinologyCommentary on: The use of burosumab to treat autosomal-recessive hypophosphatemic rickets type 2: rationale and a first clinical experience.
Journal of nephrologyX-linked hypophosphatemic rickets and nephrocalcinosis: clinical characteristics of a single-center pediatric cohort in North America before and after burosumab.
Frontiers in pediatricsNephrocalcinosis and kidney function in children and adults with X-linked hypophosphatemia: baseline results from a large longitudinal study.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchAlteration of Bone Microarchitecture in Hereditary Distal RTA Patients With SLC4A1 Gene Mutation: Assessed by HR-pQCT.
The Journal of clinical endocrinology and metabolismItem Response Theory Quantifies the Relationship Between Improvements in Serum Phosphate and Patient-Reported Outcomes in Adults With X-Linked Hypophosphatemia.
Clinical pharmacology and therapeuticsInherited phosphate and pyrophosphate disorders: New insights and novel therapies changing the oral health landscape.
Journal of the American Dental Association (1939)Metabolically healthy obesity in adults with X-linked hypophosphatemia.
European journal of endocrinologyX-linked hypophosphatemia: long-term outcomes of different treatment strategies.
NefrologiaEvaluation of dental manifestations in X-linked hypophosphatemia using orthopantomography.
PloS oneA toddler with severe vitamin D-dependent rickets type 1 A (VDDR1A), hungry bone syndrome, and severe RSV infection: presentation and therapeutic challenges.
Hormones (Athens, Greece)Longitudinal assessment of physical function in adults with X-linked hypophosphatemia following initiation of burosumab therapy.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAHereditary vitamin D resistant rickets (HVDRR) case series: phenotype, genotype, conventional treatment, and adjunctive cinacalcet therapy.
Pediatric endocrinology, diabetes, and metabolismNFATc1 Is Required for Vitamin D- and Phosphate-Mediated Regulation of Osteocyte Lacuno-Canalicular Remodeling.
EndocrinologyBurosumab treatment of X-linked hypophosphatemia patients: interim analysis of the SUNFLOWER longitudinal, observational cohort study.
JBMR plus[Retrospective study on the diagnosis, treatment, and follow-up of 85 cases of hypophosphatemic rickets in children].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsAutosomal Recessive Hypophosphatemic Rickets Type 2 Associated with a Novel ENPP1 Variant in a Taiwanese Girl.
Journal of clinical research in pediatric endocrinologyLessons learned from the real-world diagnosis and management of hereditary hypophosphatemic rickets.
Bone reportsConsenso mexicano de tirosinemia tipo 1.
Boletin medico del Hospital Infantil de MexicoBurosumab Efficacy and Safety in Patients with X-Linked Hypophosphatemia: Systematic Review and Meta-analysis of Real-World Data.
Calcified tissue internationalCoexistence of hypogonadotropic hypogonadism and hypophosphatemic rickets.
BMJ case reportsHypophosphatemic rickets and short stature.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchA de novo <italic>PRPF8</italic> Pathogenic Variant in Transient Severe Hypophosphatemia with Delayed Puberty and Growth Failure.
Hormone research in paediatricsEvaluation of bone density and microarchitecture in adult patients with X-linked hypophosphatemic rickets: A pilot longitudinal study.
Bone[Effect and safety of Burosumab in the treatment of 4 children with X-linked hypophosphatemia].
Zhonghua er ke za zhi = Chinese journal of pediatricsSafety and efficacy of burosumab in improving phosphate metabolism, bone health, and quality of life in adolescents with X-linked hypophosphatemic rickets.
European journal of medical geneticsA Mild Presentation of X-Linked Hypophosphatemia Caused by a Non-Canonical Splice Site Variant in the PHEX Gene.
GenesHealth-related quality of life of children with X-linked hypophosphatemia in Germany.
Pediatric nephrology (Berlin, Germany)Complex phenotype in Fanconi renotubular syndrome type 1: Hypophosphatemic rickets as the predominant presentation.
Clinica chimica acta; international journal of clinical chemistryClinical characteristics and long-term management for patients with vitamin D-dependent rickets type II: a retrospective study at a single center in Saudi Arabia.
Frontiers in endocrinologyImproved Oral Health in Adults With X-Linked Hypophosphatemia Treated With Burosumab.
The Journal of clinical endocrinology and metabolismCYP4A22 loss-of-function causes a new type of vitamin D-dependent rickets (VDDR1C).
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchX-Linked hypophosphatemia. Data from a Spanish adult population cohort.
Journal of nephrologyThe role of GDF5 in regulating enthesopathy development in the Hyp mouse model of XLH.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchSiblings with vitamin D-dependent rickets type 1A: Importance of genetic testing and a review of genotype-phenotype correlations.
American journal of medical genetics. Part ACardiovascular health in pediatric patients with X-linked hypophosphatemia under two years of burosumab therapy.
Frontiers in endocrinologyEfficacy and safety of burosumab compared with conventional therapy in patients with X-linked hypophosphatemia: A systematic review.
Archives of endocrinology and metabolismEstablishing a human-induced pluripotent stem cell line SMUSHi005-A from a patient with hypophosphatemic vitamin D-resistant rickets carrying the PHEX c.1586-1586+1 delAG mutation.
Stem cell researchIdentification of Rare and Novel PHEX Variants in X-linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismRecent advances in fibroblast growth factor 23-related hypophosphatemic disorders.
Current opinion in endocrinology, diabetes, and obesityEarly manifestation of hypophosphatemic rickets in goslings: a potential role of insufficient muscular adenosine triphosphate in motility impairment of early P-deficient geese.
Poultry scienceNon-Surgical Strategies for Managing Skeletal Deformities in a Child with X-Linked Hereditary Hypophosphatemic Ricket: Insights and Perspectives.
Children (Basel, Switzerland)Hereditary hypophosphatemic rickets with hypercalciuria (HHRH), a complex disorder in need of precision medicine.
Kidney internationalExperience of X-linked hypophosphatemic rickets in the Gulf Cooperation Council countries: case series.
Endocrinology, diabetes & metabolism case reportsAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- The lived experience of adolescents with X-linked hypophosphataemia treated with burosumab at end of skeletal growth: a mixed-methods analysis.
- Composite Phenotype: Recurrent Nephrolithiasis and Chronic Kidney Disease in an Adult with Biallelic SLC34A3 and Monoallelic SLC3A1 Pathogenic Variants: Who is 'The Culprit'?
- Refractory Rickets: Evaluation and Management.
- Burosumab in infants with X-linked hypophosphatemic rickets: a case series.
- Treatment with Minicircle DNA Expressing a FGF23 Fragment in a Clinically relevant Mouse Model of X-Linked Hypophosphatemic Rickets.
- Case Report: A case of x-linked hypophosphatemic rickets complicated with polyostotic fibrous dysplasia caused by PHEX gene mutation and literature review.
- SGK3 promoter deletion in late-onset hypophosphatemic rickets, a possible genetic cause of the disease.
- Burosumab treatment in an adult with FGF23-mediated hypophosphatemia due to cutaneous skeletal hypophosphatemia syndrome.
- Reference intervals for intact FGF 23 in healthy Korean adults: lower concentrations in young adulthood require age-specific partitioning.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:437(Orphanet)
- MONDO:0000044(MONDO)
- GARD:6735(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q1779987(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
