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[Hypophosphatasia in adults. Apropos of 2 cases].

Identifieur interne : 005726 ( PubMed/Curation ); précédent : 005725; suivant : 005727

[Hypophosphatasia in adults. Apropos of 2 cases].

Auteurs : D. Wendling ; M. Cassou ; M. Guidet

Source :

RBID : pubmed:3992153

Descripteurs français

English descriptors

Abstract

Two very dissimilar cases of hypophosphatemia in the adult patient are described by the authors. The first case was symptomatic since childhood, with typical clinical and radiologic findings (fissures, diaphyseal bone spurs, bony deformities), whereas the second case was minimally symptomatic (loss of teeth and back pain). Articular chondrocalcinosis was observed in both cases, as was a decrease in alkaline phosphatase and the increased urinary excretion of phosphoethanolamine. Histological examination demonstrated an increase in osteoid. Review of the literature revealed 40 cases of this inborn error of metabolism seen in adulthood, enabling a detailed description of the characteristics of this polymorphic condition.

PubMed: 3992153

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Le document en format XML

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<title xml:lang="en">[Hypophosphatasia in adults. Apropos of 2 cases].</title>
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<name sortKey="Wendling, D" sort="Wendling, D" uniqKey="Wendling D" first="D" last="Wendling">D. Wendling</name>
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<name sortKey="Cassou, M" sort="Cassou, M" uniqKey="Cassou M" first="M" last="Cassou">M. Cassou</name>
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<name sortKey="Guidet, M" sort="Guidet, M" uniqKey="Guidet M" first="M" last="Guidet">M. Guidet</name>
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<term>Adult</term>
<term>Alkaline Phosphatase (deficiency)</term>
<term>Bone and Bones (diagnostic imaging)</term>
<term>Bone and Bones (pathology)</term>
<term>Chondrocalcinosis (diagnostic imaging)</term>
<term>Ethanolamines (urine)</term>
<term>Female</term>
<term>Fractures, Spontaneous (etiology)</term>
<term>Humans</term>
<term>Hypophosphatasia (diagnosis)</term>
<term>Hypophosphatasia (diagnostic imaging)</term>
<term>Hypophosphatasia (genetics)</term>
<term>Hypophosphatasia (therapy)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (etiology)</term>
<term>Osteomalacia (etiology)</term>
<term>Radiography</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bouche édentée (étiologie)</term>
<term>Chondrocalcinose (imagerie diagnostique)</term>
<term>Femelle</term>
<term>Fractures spontanées (étiologie)</term>
<term>Humains</term>
<term>Hypophosphatasie ()</term>
<term>Hypophosphatasie (diagnostic)</term>
<term>Hypophosphatasie (génétique)</term>
<term>Hypophosphatasie (imagerie diagnostique)</term>
<term>Os et tissu osseux (anatomopathologie)</term>
<term>Os et tissu osseux (imagerie diagnostique)</term>
<term>Ostéomalacie (étiologie)</term>
<term>Phosphatase alcaline (déficit)</term>
<term>Radiographie</term>
<term>Éthanolamines (urine)</term>
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<term>Alkaline Phosphatase</term>
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<term>Os et tissu osseux</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Hypophosphatasia</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Hypophosphatasie</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Bone and Bones</term>
<term>Chondrocalcinosis</term>
<term>Hypophosphatasia</term>
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<keywords scheme="MESH" qualifier="déficit" xml:lang="fr">
<term>Phosphatase alcaline</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Fractures, Spontaneous</term>
<term>Mouth, Edentulous</term>
<term>Osteomalacia</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Hypophosphatasia</term>
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<term>Hypophosphatasie</term>
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<term>Chondrocalcinose</term>
<term>Hypophosphatasie</term>
<term>Os et tissu osseux</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Bone and Bones</term>
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<term>Hypophosphatasia</term>
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<keywords scheme="MESH" type="chemical" qualifier="urine" xml:lang="en">
<term>Ethanolamines</term>
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<term>Bouche édentée</term>
<term>Fractures spontanées</term>
<term>Ostéomalacie</term>
<term>Éthanolamines</term>
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<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Radiography</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hypophosphatasie</term>
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<div type="abstract" xml:lang="en">Two very dissimilar cases of hypophosphatemia in the adult patient are described by the authors. The first case was symptomatic since childhood, with typical clinical and radiologic findings (fissures, diaphyseal bone spurs, bony deformities), whereas the second case was minimally symptomatic (loss of teeth and back pain). Articular chondrocalcinosis was observed in both cases, as was a decrease in alkaline phosphatase and the increased urinary excretion of phosphoethanolamine. Histological examination demonstrated an increase in osteoid. Review of the literature revealed 40 cases of this inborn error of metabolism seen in adulthood, enabling a detailed description of the characteristics of this polymorphic condition.</div>
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<Title>Revue du rhumatisme et des maladies osteo-articulaires</Title>
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<ArticleTitle>[Hypophosphatasia in adults. Apropos of 2 cases].</ArticleTitle>
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<AbstractText>Two very dissimilar cases of hypophosphatemia in the adult patient are described by the authors. The first case was symptomatic since childhood, with typical clinical and radiologic findings (fissures, diaphyseal bone spurs, bony deformities), whereas the second case was minimally symptomatic (loss of teeth and back pain). Articular chondrocalcinosis was observed in both cases, as was a decrease in alkaline phosphatase and the increased urinary excretion of phosphoethanolamine. Histological examination demonstrated an increase in osteoid. Review of the literature revealed 40 cases of this inborn error of metabolism seen in adulthood, enabling a detailed description of the characteristics of this polymorphic condition.</AbstractText>
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<DescriptorName UI="D004983" MajorTopicYN="N">Ethanolamines</DescriptorName>
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