J 2021

Novel mutations in TRPM6 gene associated with primary hypomagnesemia with secondary hypocalcemia. Case report

PAPEŽ, Jan, Jiří ŠTARHA, Kateřina SLABÁ, Jaroslav A. HUBACEK, Jakub PECL et. al.

Basic information

Original name

Novel mutations in TRPM6 gene associated with primary hypomagnesemia with secondary hypocalcemia. Case report

Authors

PAPEŽ, Jan (203 Czech Republic, belonging to the institution), Jiří ŠTARHA (203 Czech Republic, belonging to the institution), Kateřina SLABÁ (203 Czech Republic, belonging to the institution), Jaroslav A. HUBACEK (203 Czech Republic), Jakub PECL (203 Czech Republic, belonging to the institution), Štefánia AULICKÁ (703 Slovakia, belonging to the institution), Milan URÍK (703 Slovakia, belonging to the institution), Serdar CEYLANER, Petra POKORNÁ (203 Czech Republic, belonging to the institution), Ondřej SLABÝ (203 Czech Republic, belonging to the institution) and Petr JABANDŽIEV (203 Czech Republic, guarantor, belonging to the institution)

Edition

Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2021, 1213-8118

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30209 Paediatrics

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.648

RIV identification code

RIV/00216224:14110/21:00123237

Organization unit

Faculty of Medicine

UT WoS

000722224100017

Keywords in English

hypomagnesemia; hypocalcemia; transient receptor potential melastatin 6; infantile seizures

Tags

International impact, Reviewed
Změněno: 28/2/2022 12:17, Mgr. Tereza Miškechová

Abstract

V originále

Background. Primary hypomagnesemia with secondary hypocalcemia (HSH) is a rare genetic disorder. Dysfunctional transient receptor potential melastatin 6 causes impaired intestinal absorption of magnesium, leading to low serum levels accompanied by hypocalcemia. Typical signs at initial manifestation are generalized seizures, tetany, and/or muscle spasms. Case report. We present a 5 w/o female manifesting tonic-clonic seizures. Laboratory tests detected severe hypomagnesemia and hypocalcemia. The molecular genetic analysis revealed two novel mutations within the TRPM6 gene c.3308dupC (p.Pro1104Thrfs*28) (p.P1104Tfs*28) and c.3958C>T (p.Gln1302*) (p.Q1302*) and the patient was successfully treated with Mg supplementation. Conclusion. Ion disbalance should be taken into account in the differential diagnosis of infantile seizures. Accurate diagnosis of HSH together with appropriate treatment are crucial to prevent irreversible neurological outcomes.