Abstract
Background: Rickets encompasses a heterogeneous group of acquired and hereditary diseases. The most common cause is nutritional deficiency, but it can also have a genetic origin.
Purpose: The purpose of this is article is to report the case of rickets of genetic origin in an indigenous patient
Case presentation: We present the case of an Indigenous patient with rickets, in whom a nutritional etiology was ruled out. Molecular testing confirmed the diagnosis of vitamin D-dependent rickets type 1A (VDDR-1A).
Discussion and conclusion: The diagnosis of rickets requires knowing the possible biochemical profiles as a key tool, and thus opportunely suspecting less frequent variants such as hereditary ones, even in a high-risk population of deficiency origin as was the case in the reported case.
References
Chanchlani R, Nemer P, Sinha R, Nemer L, Krishnappa V, Sochett E, et al. An overview of rickets in children. Kidney Int Rep. 2020;5(7):980-90. http://dx.doi.org/10.1016/j.ekir.2020.03.025
Gentile C, Chiarelli F. Rickets in children: an update. Biomedicines. 2021;9(7):738. http://dx.doi.org/10.3390/biomedicines9070738
Haffner D, Leifheit-Nestler M, Grund A, Schnabel D. Rickets guidance: part I-diagnostic workup. Pediatr Nephrol. 2022;37(9):2013-36. http://dx.doi.org/10.1007/s00467-021-05328-w
Lambert AS, Linglart A. Hypocalcaemic and hypophosphatemic rickets. Best Pract Res Clin Endocrinol Metab. 2018;32(4):455-76. http://dx.doi.org/10.1016/j.beem.2018.05.009
Creo AL, Thacher TD, Pettifor JM, Strand MA, Fischer PR. Nutritional rickets around the world: an update. Paediatr Int Child Health. 2017;37(2):84-98. http://dx.doi.org/10.1080/20469047.2016.1248170
Levine MA. Diagnosis and management of vitamin D dependent rickets. Front Pediatr. 2020;8:315. http://dx.doi.org/10.3389/fped.2020.00315
Ozden A, Doneray H. The genetics and clinical manifestations of patients with vitamin D dependent rickets type 1A. J Pediatr Endocrinol Metab. 2021;34(6):781-9. http://dx.doi.org/10.1515/jpem-2020-0691
Kaygusuz SB, Alavanda C, Kirkgoz T, Eltan M, Yavas Abali Z, Helvacioglu D, et al. Does genotype-phenotype correlation exist in vitamin D-dependent rickets type IA: report of 13 new cases and review of the literature. Calcif Tissue Int. 2021;108(5):576-86. http://dx.doi.org/10.1007/s00223-020-00784-2
Aftab S, Khan SA, Malik MI, Imran A, Anjum MN, Saeed A, et al. Clinical spectrum and diagnostic challenges of vitamin D dependent rickets type 1A (VDDR1A) caused by CYP27B1 mutation in resource limited countries. J Pediatr Endocrinol Metab. 2022;36(2):152-7. http://dx.doi.org/10.1515/jpem-2022-0550
Al Homyani DK, Alhemaiani SK. Novel homozygous CYP27B1 gene mutation in vitamin D-dependent rickets type 1A (VDDR1A) disorder: a case report. Front Endocrinol. 2022;13:862022. http://dx.doi.org/10.3389/fendo.2022.862022

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.