Bones, Stones, and Hematuria - Connecting the Dots.

Indian J Nephrol

Pediatric Nephrologist, Command Hospital, Pune, Maharashtra, India.

Published: June 2024

We report a 12 yr old boy who presented with recurrent gross hematuria, polyuria and rickets with growth failure. Investigations showed bilateral renal calculi with small kidneys on ultrasonography along with hypercalciuria; hypomagnesemia and reduced kidney function. His younger sibling also had nephrocalcinosis hypomagnesemia. The genetic analysis done in view of recurrent renal calculi with chronic kidney disease showed a homozygous missense variant (c.392G>A) at exon 4 of CLDN 16 gene suggestive of Familial hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC). The younger sibling had a similar homozygous mutation and the parents were heterozygous carriers.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883326PMC
http://dx.doi.org/10.25259/ijn_531_23DOI Listing

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