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A case of hypomagnesemia with secondary hypocalcemia caused by Trpm6 gene mutation
Authors:Hursit Apa  Ertan Kayserili  Hasan Agin  Murat Hizarcioglu  Pamir Gulez  Afig Berdeli
Institution:(1) Department of Pediatric Emergency, Izmir, Turkey;(2) Department of Pediatrics Dr. Behcet Uz Children’s Hospital, Izmir, Turkey;(3) Department of Ege University Medical Faculty, Izmir, Turkey;(4) Pediatric Emergency Department, Dr. Behcet Uz Children’s Hospital, Izmir, Turkey
Abstract:An offspring of marriage between two first cousins presented with atonic seizures developed on the 20th day of life. The physical examination of the case was normal. In laboratory results, Ca+2 level was 5,7 mg/dl, Mg+2: 0,4 mg/dl (1,3–2,1), PTH: 28,4 pg/ml (12–92), and P-: 4,5 mg/dl. The case was diagnosed as hypomagnesemia with secondary hypocalcemia (HSH) and TRPM6 gene mutation analysis revealed a homozygote mutation of E157X.
Keywords:Magnesium-Hypomagnesemia  Seizure  Hypocalcemia  TRPM6
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