Familial hypocalciuric hypercalcemia screening: Difference between revisions

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==Overview==
==Overview==


There is insufficient evidence to recommend routine screening for FHH.
There is insufficient evidence to recommend routine screening for familial hypocalciuric hypercalcemia (FHH).


==Screening==
==Screening==

Revision as of 20:31, 21 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

There is insufficient evidence to recommend routine screening for familial hypocalciuric hypercalcemia (FHH).

Screening

  • Prenatal testing for FHH is not recommended routinely.
  • If both parents have type-1 FHH, their children should be screened for CASR mutation.
  • Genetic screening for the CASR familial mutation is also offered to family members of affected individuals.
  • CaSR and AP2S1 sequencing are done in patients with familial hyperparathyroidism and phenotype suggesting FHH.
  • Learning disabilities in patients, associated with higher serum calcium and magnesium levels may suggest the presence of an AP2S1 mutation and may require further genetic evaluation.[1].

References

  1. Fernández López I, Fernández Peña I, Cózar León MV, Viloria Peñas MM, Martínez De Pinillos Gordillo G, Fernández-Ladreda MT, Duran García S (2011). "[Usefulness of genetic tests in familial hypocalciuric hypercalcemia with atypical clinical presentation]". Endocrinol Nutr (in Spanish; Castilian). 58 (7): 325–30. doi:10.1016/j.endonu.2011.04.004. PMID 21697018.

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