Long-term follow-up of a patient with primary hypomagnesaemia and secondary hypocalcaemia due to a novel TRPM6 mutation.

Eur J Pediatr

Department of Paediatrics, University Hospital Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Catalonia, Spain.

Published: April 2009

AI Article Synopsis

  • Hypomagnesaemia with secondary hypocalcaemia (HSH) is a rare disorder in newborns, often marked by seizures and growth issues.
  • A case of HSH linked to a new TRPM6 mutation emphasizes the importance of early diagnosis and consistent treatment with oral magnesium to prevent developmental problems.
  • Studying various mutations in the TRPM6 gene is crucial for accurate diagnosis and enhances understanding of magnesium balance in the body.

Article Abstract

Hypomagnesaemia with secondary hypocalcaemia (HSH) is a rare condition usually presenting in the newborn period as refractory seizures, other symptoms of increased neuromuscular excitability and growth disturbances. A case with a novel TRPM6 mutation with an excellent long-term outcome is reported to highlight the observation that clinical suspicion is essential for an early diagnosis and treatment of HSH. The compliance of a long-term treatment with oral magnesium supplements is critical to avoid abnormalities of neurological and physical development. The finding of novel mutations supports the notion that the molecular study of the whole TRPM6 gene is required for diagnostic accuracy. Furthermore, the molecular study of the different types of hereditary hypomagnesaemia is critical to further improve our knowledge of magnesium homeostasis.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00431-008-0767-1DOI Listing

Publication Analysis

Top Keywords

hypomagnesaemia secondary
8
secondary hypocalcaemia
8
novel trpm6
8
trpm6 mutation
8
molecular study
8
long-term follow-up
4
follow-up patient
4
patient primary
4
primary hypomagnesaemia
4
hypocalcaemia novel
4

Similar Publications

An electrolyte disturbance masquerading as a panic attack.

JAAPA

January 2025

Anne Wildermuth is an assistant professor in the School of Medicine at the Uniformed Services University in Bethesda, Md., and practices in emergency medicine with MedStar Emergency Physicians in Clinton, Md. At the time this article was written, Meagan Lantz and Erin Sagers were students in the PA program at the George Washington University in Washington, D.C. Ms. Lantz now practices in cardiothoracic surgery at Stanford Health Care in Palo Alto, Calif. Ms. Sagers now practices in orthopedics at EmergeOrtho Coastal Region in Wilmington, N.C. The authors have disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are those of the authors and not of the Department of Defense, Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., or other federal agencies.

Because proton pump inhibitors (PPIs) are so commonly used, their safety and potential adverse reactions often are not considered. This article describes a patient whose paresthesias and severe muscle cramps were attributed to panic attacks but actually were caused by hypocalcemia secondary to PPI-induced hypomagnesemia. This case serves as a reminder that PPIs should be used cautiously and appropriately with consideration for regular monitoring of electrolytes and vitamin B12.

View Article and Find Full Text PDF

Purpose: It has been assumed that magnesium (Mg) status may interact with vitamin D status. We therefore aimed at investigating the association between Mg and vitamin D status in a large cohort of adult individuals with a high prevalence of deficient/insufficient vitamin D and Mg status.

Methods: We used data from the Ludwigshafen Risk and Cardiovascular Health Study (n = 2,286) to analyze differences according to serum Mg status in circulating 25-hydroxyvitamin D [25(OH)D] (primary endpoint), 24,25-dihydroxyvitamin D [24,25(OH)D], vitamin D metabolite ratio and calcitriol, and odds ratios for deficient or insufficient 25(OH)D (secondary endpoints).

View Article and Find Full Text PDF
Article Synopsis
  • The study investigated whether Magnesium (Mg) Sulfate could protect kidneys from damage during colistin therapy, a last-resort antibiotic known for causing nephrotoxicity.
  • Conducted between January 2023 and February 2024, the trial involved 87 patients, with those receiving Mg sulfate showing a lower incidence of Acute Kidney Injury (AKI) compared to the placebo group (30.43% vs. 51.21%).
  • Results suggest Mg sulfate use can significantly lower AKI rates and improve patient safety without impacting hospital stay length or mortality rates.
View Article and Find Full Text PDF
Article Synopsis
  • * This study conducted a systematic review of 14 studies involving 520 patients to evaluate the safety and efficacy of re-administering anti-EGFR treatments (like cetuximab and panitumumab) to those who previously progressed after treatment.
  • * Results indicated a low objective response rate (17.70%) and a moderate disease control rate (61.72%), with notable differences in effectiveness between the types of anti-EGFR therapy used, highlighting the complexities of managing metastatic CRC
View Article and Find Full Text PDF

Introduction: Hypomagnesemia is a common issue in patients with cancer due to magnesium wasting drugs like calcineurin inhibitors, chemotherapy sides effects such as diarrhea, and poor oral intake. Historically, magnesium has been given over prolonged infusions due to concern for rapid elimination of magnesium when large doses are administered. At UW Health, magnesium was given at a rate of 1g/60 min.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!