PMID- 28222409 OWN - NLM STAT- MEDLINE DCOM- 20170605 LR - 20180817 IS - 2520-8721 (Electronic) IS - 1109-3099 (Linking) VI - 15 IP - 4 DP - 2016 Oct TI - A novel mutation of the calcium-sensing receptor gene in a German subject with familial hypocalciuric hypercalcemia and primary hyperparathyroidism. PG - 557-559 LID - 10.14310/horm.2002.1711 [doi] AB - OBJECTIVE: The coexistence of familial hypocalciuric hypercalcemia (FHH) and primary hyperparathyroidism (PHPT) is extremely rare. Genetic evidence has demonstrated a causal relationship between FHH and the presence of inactivating mutations in the calcium-sensing receptor gene. METHOD: We herein report a 60-year-old German patient who was referred for hypercalcemia and increased PTH levels found incidentally during normal routine blood tests. RESULTS: The patient underwent surgical exploration and the diagnosis of PHPT was histologically confirmed. One week later, the follow-up blood tests revealed recurrent hypercalcemia, and the possibility of FHH was reconsidered. Genetic analysis was performed and revealed a novel heterozygous CaSR single missense mutation (Arg551Gly) within the extracellular CaSR domain. CONCLUSION: We report a novel heterozygous missense inactivating mutation within the extracellular CaSR domain in a German subject with FHH and histologically proven PHPT. FAU - Papadakis, Marios AU - Papadakis M AD - Department of Endocrine Surgery, Helios Clinic, University Hospital Witten-Herdecke, Wuppertal, Germany. marios_papadakis@yahoo.gr. AD - Department of Plastic and Hand Surgery, Helios Clinic, University Hospital Witten-Herdecke, Heusnerstr. 40, 42283, Wuppertal, Germany. marios_papadakis@yahoo.gr. FAU - Meurer, Natalie AU - Meurer N AD - Department of Endocrine Surgery, Helios Clinic, University Hospital Witten-Herdecke, Wuppertal, Germany. FAU - Margariti, Theodora AU - Margariti T AD - Department of Endocrine Surgery, Helios Clinic, University Hospital Witten-Herdecke, Wuppertal, Germany. FAU - Meyer, Anke AU - Meyer A AD - Department of Endocrine Surgery, Helios Clinic, University Hospital Witten-Herdecke, Wuppertal, Germany. FAU - Weyerbrock, Norbert AU - Weyerbrock N AD - Department of Endocrine Surgery, Helios Clinic, University Hospital Witten-Herdecke, Wuppertal, Germany. FAU - Dotzenrath, Cornelia AU - Dotzenrath C AD - Department of Endocrine Surgery, Helios Clinic, University Hospital Witten-Herdecke, Wuppertal, Germany. LA - eng PT - Case Reports PT - Journal Article PL - Switzerland TA - Hormones (Athens) JT - Hormones (Athens, Greece) JID - 101142469 RN - 0 (CASR protein, human) RN - 0 (Receptors, Calcium-Sensing) RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Germany MH - Humans MH - Hypercalcemia/*congenital/genetics MH - Hyperparathyroidism, Primary/*genetics MH - Male MH - Middle Aged MH - Mutation MH - Receptors, Calcium-Sensing/*genetics EDAT- 2017/02/22 06:00 MHDA- 2017/06/06 06:00 CRDT- 2017/02/22 06:00 PHST- 2015/11/20 00:00 [received] PHST- 2016/12/12 00:00 [accepted] PHST- 2017/02/22 06:00 [entrez] PHST- 2017/02/22 06:00 [pubmed] PHST- 2017/06/06 06:00 [medline] AID - 10.14310/horm.2002.1711 [pii] AID - 10.14310/horm.2002.1711 [doi] PST - ppublish SO - Hormones (Athens). 2016 Oct;15(4):557-559. doi: 10.14310/horm.2002.1711.