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Autosomal dominant primary hypomagnesemia with hypocalciuria
Disease definition
A mild form of familial primary hypomagnesemia (FPH), characterized by extreme weakness, tetany and convulsions. Secondary disturbances in calcium excretion are observed.
ORPHA:34528
Classification level: DisorderSummary
Epidemiology
To date, only one large pedigree with 18 affected individuals has been reported in the literature.
Clinical description
Autosomal dominant primary hypomagnesemia with hypocalciuria (ADPHH) can be detected in childhood or in adult life. Most affected individuals are asymptomatic but patients may suffer from generalized convulsions. In adulthood, chondrocalcinosis may be observed.
Differential diagnosis
Differential diagnosis includes all causes of renal hypomagnesemia, particularly diseases associated with hypocalciuria such as Gitelman syndrome, EAST syndrome and familial primary hypomagnesemia with normocalciuria and normocalcemia (see these terms).
Genetic counseling
Transmission is autosomal dominant. Genetic counseling may be proposed and the recurrence risk is 50%.
Management and treatment
Management is mainly symptomatic and includes oral magnesium supplements.
A summary on this disease is available in Deutsch (2003) Português (2003) Español (2014) Français (2014) Italiano (2014) Nederlands (2014) Polski (2014, pdf)
Detailed information
Guidelines
- Clinical practice guidelines
- Français (2020) - PNDS
Genetic Testing
- Guidance for genetic testing
- Français (2015, pdf) - ANPGM


Additional information