Hereditary Rickets. How Genetic Alterations Explain the Biochemical and Clinical Phenotypes

Author(s): Anna Papadopoulou , Evaggelia Gole , Polyxeni Nicolaidou .

Journal Name: Endocrine, Metabolic & Immune Disorders - Drug Targets

Volume 13 , Issue 4 , 2013

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The reemergence of vitamin D deficiency in the industrialized countries resurrects the “threat” of nutritional rickets, especially among pediatric populations, a fact that may lead to underdiagnosis of hereditary rickets. Today, hereditary rickets may be subdivided into two main groups according to their biochemical profile: the one associated with defects in vitamin D synthesis and action and the second associated with abnormal phosphorus metabolism. The classification of the patients in a particular group of hereditary rickets is determinative of the treatment to follow. This review, through the recent advances on vitamin D and P metabolism, discusses the molecular and biochemical defects associated to each group of inherited rickets, as well as the clinical phenotypes and the recommended therapeutic approaches.

Keywords: FGF23, Klotho, Phosphorus, Rickets, Vitamin D, VDR.

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Article Details

Year: 2013
Page: [324 - 334]
Pages: 11
DOI: 10.2174/1871530313666131224114530
Price: $58

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PDF: 18