Short stature with low serum alkaline phosphatase activity: a case report of hypophosphatasia.

IF 2.8 Q3 ENDOCRINOLOGY & METABOLISM
Donghyun Lee, So Yun Park, Heung Sik Kim, Seokjin Kang
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引用次数: 0

Abstract

Hypophosphatasia (HPP) is a rare condition characterized by abnormal bone mineralization. The manifestations of HPP vary from no symptoms to intrauterine fetal death; short stature is another indication of HPP. A 3 ½-year-old boy presented with short stature, transient hypercalcemia, and mild gait disturbance without definite bony deformity. Laboratory examination revealed transient hypercalcemia, normal phosphorous and 25-hydroxy vitamin D levels, and mildly low alkaline phosphatase levels. A targeted next-generation sequencing panel associated with inborn errors of metabolism revealed a pathogenic heterozygous mutation in the ALPL gene, c.979T>C (p.Phe327Leu). When a child visits a hospital with short stature, decreased height velocity, and low alkaline phosphatase level, clinicians should consider the possibility of HPP even if definite skeletal dysplasia is not evident.

身材矮小,血清碱性磷酸酶活性低:低磷血症病例报告。
低磷酸盐血症(HPP)是一种以骨矿化异常为特征的罕见疾病。HPP 的表现多种多样,从无症状到胎儿宫内死亡;身材矮小是 HPP 的另一种表现。一名 3 岁半的男孩出现身材矮小、一过性高钙血症和轻度步态障碍,但没有明确的骨骼畸形。实验室检查发现他患有一过性高钙血症,血磷和 25- 羟基维生素 D 水平正常,碱性磷酸酶水平轻度偏低。与先天性代谢错误相关的目标下一代测序面板显示,ALPL基因有一个致病性杂合突变,即c.979T>C(p.Phe327Leu)。当儿童因身材矮小、身高速度减慢和碱性磷酸酶水平较低而到医院就诊时,即使没有明显的骨骼发育不良,临床医生也应考虑 HPP 的可能性。
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来源期刊
CiteScore
4.00
自引率
18.20%
发文量
59
审稿时长
24 weeks
期刊介绍: The Annals of Pediatric Endocrinology & Metabolism Journal is the official publication of the Korean Society of Pediatric Endocrinology. Its formal abbreviated title is “Ann Pediatr Endocrinol Metab”. It is a peer-reviewed open access journal of medicine published in English. The journal was launched in 1996 under the title of ‘Journal of Korean Society of Pediatric Endocrinology’ until 2011 (pISSN 1226-2242). Since 2012, the title is now changed to ‘Annals of Pediatric Endocrinology & Metabolism’. The Journal is published four times per year on the last day of March, June, September, and December. It is widely distributed for free to members of the Korean Society of Pediatric Endocrinology, medical schools, libraries, and academic institutions. The journal is indexed/tracked/covered by web sites of PubMed Central, PubMed, Emerging Sources Citation Index (ESCI), Scopus, EBSCO, EMBASE, KoreaMed, KoMCI, KCI, Science Central, DOI/CrossRef, Directory of Open Access Journals(DOAJ), and Google Scholar. The aims of Annals of Pediatric Endocrinology & Metabolism are to contribute to the advancements in the fields of pediatric endocrinology & metabolism through the scientific reviews and interchange of all of pediatric endocrinology and metabolism. It aims to reflect the latest clinical, translational, and basic research trends from worldwide valuable achievements. In addition, genome research, epidemiology, public education and clinical practice guidelines in each country are welcomed for publication. The Journal particularly focuses on research conducted with Asian-Pacific children whose genetic and environmental backgrounds are different from those of the Western. Area of specific interest include the following : Growth, puberty, glucose metabolism including diabetes mellitus, obesity, nutrition, disorders of sexual development, pituitary, thyroid, parathyroid, adrenal cortex, bone or other endocrine and metabolic disorders from infancy through adolescence.
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