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Hereditary arterial and articular multiple calcification syndrome(CALJA; ACDC)

MedGen UID:
347132
Concept ID:
C1859372
Disease or Syndrome
Synonyms: ARTERIAL CALCIFICATION DUE TO DEFICIENCY OF CD73; Calcification of joints and arteries
SNOMED CT: Hereditary arterial and articular multiple calcification syndrome (718602007)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): NT5E (6q14.3)
 
Monarch Initiative: MONDO:0008895
OMIM®: 211800
Orphanet: ORPHA289601

Definition

Adult-onset calcification of the lower extremity arteries (CALJA), including the iliac, femoral, and tibial arteries, and hand and foot capsule joints, is an autosomal recessive condition that represents only the second mendelian disorder of isolated calcification (see generalized arterial calcification of infancy (GACI), 208000). Age of onset has been reported as early as the second decade of life, usually involving intense joint pain or calcification in the hands (St. Hilaire et al., 2011). [from OMIM]

Clinical features

From HPO
Intermittent claudication
MedGen UID:
7115
Concept ID:
C0021775
Disease or Syndrome
Intermittent claudication is a symptom of peripheral arterial occlusive disease. After having walked over a distance which is individually characteristic, the patients experience pain or cramps in the calves, feet or thighs which typically subsides on standing still.
Coronary artery calcification
MedGen UID:
345985
Concept ID:
C1611184
Pathologic Function
An accumulation of calcium and phosphate in arteries with mineral deposits in the intimal or medial layer of the vessel wall in a coronary artery.
Tibial arterial calcification
MedGen UID:
1618581
Concept ID:
C4531213
Disease or Syndrome
An accumulation of calcium and phosphate in arteries with mineral deposits in the intimal or medial layer of the vessel wall of the tibial artery.
Iliac arterial calcification
MedGen UID:
1612966
Concept ID:
C4531214
Finding
An accumulation of calcium and phosphate in arteries with mineral deposits in the intimal or medial layer of the vessel wall of the iliac artery.
Femoral arterial calcification
MedGen UID:
1621848
Concept ID:
C4531215
Disease or Syndrome
An accumulation of calcium and phosphate in arteries with mineral deposits in the intimal or medial layer of the vessel wall of the femoral artery.
Ectopic ossification
MedGen UID:
18209
Concept ID:
C0029396
Pathologic Function
Formation of abnormal, extraskeletal bony tissue, i.e., the presence of bone in soft tissue where bone normally does not exist.
Periarticular calcification
MedGen UID:
575157
Concept ID:
C0342650
Disease or Syndrome
Calcified deposits in soft tissue structures outside a joint.
Intervertebral disk calcification
MedGen UID:
451050
Concept ID:
C0410607
Disease or Syndrome
The presence of abnormal calcium deposition of the intervertebral disk.

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