Lightwood syndrome revisited with a novel mutation in CYP24 and vitamin D supplement recommendations

J Pediatr. 2013 Oct;163(4):1208-10. doi: 10.1016/j.jpeds.2013.04.056. Epub 2013 Jun 14.

Abstract

A novel mutation in CYP24A1 provides insight into idiopathic infantile hypercalcemia. In this report of 3 brothers, in twins supplemented with vitamin D (1900 IU/d), only the twin homozygous for CYP24A1 exhibited idiopathic infantile hypercalcemia. A subsequently affected younger brother given vitamin D 400 IU/d was not hypercalcemic.

Keywords: 1,25(OH)2D; 1,25-dihydroxyvitamin D; IIH; Idiopathic infantile hypercalcemia; PCR; PTH; Parathyroid hormone; Polymerase chain reaction.

Publication types

  • Case Reports

MeSH terms

  • Alleles
  • Dietary Supplements*
  • Diseases in Twins
  • Exons
  • Female
  • Homozygote
  • Humans
  • Hypercalcemia / genetics*
  • Infant
  • Infant, Newborn, Diseases / genetics*
  • Male
  • Metabolism, Inborn Errors / genetics*
  • Mutation*
  • Parathyroid Hormone / metabolism
  • Pedigree
  • Polymerase Chain Reaction / methods
  • Sequence Analysis, DNA
  • Siblings
  • Steroid Hydroxylases / genetics*
  • Vitamin D / therapeutic use*
  • Vitamin D3 24-Hydroxylase

Substances

  • Parathyroid Hormone
  • Vitamin D
  • Steroid Hydroxylases
  • CYP24A1 protein, human
  • Vitamin D3 24-Hydroxylase

Supplementary concepts

  • Hypercalcemia, Idiopathic, of Infancy