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The A, B, C, D of hypercalcaemia in Down syndrome
Huy A Tran1, Shuzhen Song, Patricia A Crock
1Hunter Area Pathology Service, Clinical Chemistry, Locked Bag 1, HRMC, Newcastle, New South Wales, 2310, Australia.
Insights
Hypercalcaemia in infants with Down syndrome is rare, presenting with high calcium levels and kidney calcification. Management involves reducing dietary calcium intake.
Area of Science:
- Pediatrics
- Endocrinology
- Genetics
Background:
- Hypercalcaemia in infants with Down syndrome is a rare condition, with only five previous case reports.
- Affected individuals typically present in toddlerhood with Down syndrome, biochemical hypercalcaemia, and nephrocalcinosis.
Purpose of the Study:
- To report the sixth case of hypercalcaemia in an infant with Down syndrome.
- To review the clinical details and stratify diagnostic criteria for this under-recognized condition.
- To consider the management and natural history of this condition.
Main Methods:
- Case report presentation.
- Literature review of previous cases.
- Analysis of clinical details and diagnostic criteria.
Main Results:
- The sixth case, and second male, of hypercalcaemia in an infant with Down syndrome is presented.
- The classical triad of Down syndrome, biochemical hypercalcaemia, and nephrocalcinosis is confirmed.
- Management strategies, including dietary calcium reduction, are discussed.
Conclusions:
- Hypercalcaemia in Down syndrome is an under-recognized condition requiring careful diagnosis and management.
- Reducing calcium intake is a primary management step.
- Further consideration of the condition's natural history is warranted.
Abstract:
Hypercalcaemia in infants with Down syndrome is an uncommon condition with only five previous case reports. The patients often present in the toddler years with the classical triad of Down syndrome, biochemical hypercalcaemia, and nephrocalcinosis. We present the sixth case and second male with this condition and further review the clinical details of this under-recognised condition and stratify the diagnostic criteria. The management mandates a reduction in calcium intake as a first step. The natural history of the various aspects of this condition is also considered.
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