Home Severe hypophosphataemia can be an early sign of osteopetrorickets: a case report
Article
Licensed
Unlicensed Requires Authentication

Severe hypophosphataemia can be an early sign of osteopetrorickets: a case report

  • Artemis Doulgeraki ORCID logo EMAIL logo , Laura Bani-Odeh , Despina Tramma , Georgios Giataganas , Fotis Kirvassilis , Konstantinos Kollios and Maria Fotoulaki
Published/Copyright: May 5, 2023

Abstract

Osteopetrorickets is a rare complication of autosomal recessive (“malignant”) osteopetrosis. Its prompt diagnosis is essential, because early suspicion of infantile osteopetrosis enables treatment with human stem cell transplantation, depending on the gene involved. It is important to identify not only the characteristic radiological changes of rickets, but also the coexistence of increased bone density, so as not to miss this very rare entity. Herein, a brief case report is presented.


Corresponding author: Dr. Artemis Doulgeraki, MD, PhD, MRCPCH, FRCPCH, Consultant Paediatrician, Head of the Department of Bone and Mineral Metabolism, Institute of Child Health, “Aghia Sophia” Children’s Hospital, Thivon and Papadiamantopoulou 1, Goudi, 115 27, Athens, Greece, Phone: +30 213 2037 360 1, E-mail:

Acknowledgments

The authors wish to thank the parents for providing their consent for presentation of this case. They are also greatful to Dr Ioannis Papoulidis for providing detailed information on the genetic analysis of our patient.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The local Institutional Review Board deemed the study exempt from review.

References

1. Palagano, E, Menale, C, Sobacchi, C, Villa, A. Genetics of osteopetrosis. Curr Osteoporos Rep 2018;16:13–25. https://doi.org/10.1007/s11914-018-0415-2.Search in Google Scholar PubMed

2. Freese, J, Greenup, E, Sunil, B, Ashraf, A. Osteopetrorickets presenting with failure to thrive and hypophosphatemia. J Endocr Soc 2020;4:1–5. https://doi.org/10.1210/jendso/bvaa044.Search in Google Scholar PubMed PubMed Central

3. Atay, AA, Kurekci, AE, Azik, FM, Gulgun, M, Yavuz, T, Ozcan, O. High dose calcitriol in osteopetrorickets. J Pediatr Endocrinol Metab 2009;22:1179–83. https://doi.org/10.1515/jpem.2009.22.12.1179.Search in Google Scholar PubMed

4. Demirel, F, Esen, I, Tunc, B, Tavil, B. Scarcity despite wealth: osteopetrorickets. J Pediatr Endocrinol Metab 2010;23:931–4. https://doi.org/10.1515/jpem.2010.149.Search in Google Scholar PubMed

5. Wu, CC, Econs, MJ, DiMeglio, LA, Insogna, KL, Levine, MA, Orchard, PJ, et al.. Diagnosis and management of osteopetrosis: consensus guidelines from the osteopetrosis working group. J Clin Endocrinol Metab 2017;102:3111–23. https://doi.org/10.1210/jc.2017-01127.Search in Google Scholar PubMed

6. Stepensky, P, Grisariu, S, Avni, B, Zaidman, I, Shadur, B, Elpeleg, O, et al.. Stem cell transplantation for osteopetrosis in patients beyond the age of 5 years. Blood Adv 2019;26:862–8. https://doi.org/10.1182/bloodadvances.2018025890.Search in Google Scholar PubMed PubMed Central

7. Zirngibl, RA, Wang, A, Yao, Y, Manolson, MF, Krueger, J, Dupuis, L, et al.. Novel c.G630A TCIRG1 mutation causes aberrant splicing resulting in an unusually mild form of autosomal recessive osteopetrosis. J Cell Biochem 2019;120:17180–93. https://doi.org/10.1002/jcb.28979.Search in Google Scholar PubMed

8. Simanovsky, N, Rozovsky, K, Hiller, N, Weintraub, M, Stepensky, P. Extending the spectrum of radiological findings in patients with severe osteopetrosis and different genetic backgrounds. Pediatr Blood Cancer 2016;63:1222–6. https://doi.org/10.1002/pbc.25952.Search in Google Scholar PubMed

9. Kuroyanagi, Y, Kawasaki, H, Noda, Y, Ohmachi, T, Sekiya, S, Yoshimura, K, et al.. A fatal case of infantile malignant osteopetrosis complicated by pulmonary arterial hypertension after hematopoietic stem cell transplantation. Tohoku J Exp Med 2014;234:309–12. https://doi.org/10.1620/tjem.234.309.Search in Google Scholar PubMed

10. Gonen, KA, Yazici, Z, Gokalp, G, Ucar, AK. Infantile osteopetrosis with superimposed rickets. Pediatr Radiol 2013;43:189–95. https://doi.org/10.1007/s00247-012-2511-2.Search in Google Scholar PubMed


Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jpem-2023-0001).


Received: 2023-01-01
Accepted: 2023-04-12
Published Online: 2023-05-05
Published in Print: 2023-07-26

© 2023 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Review Article
  3. Molecular mechanisms involved in fetal programming and disease origin in adulthood
  4. Original Articles
  5. Neuropathy in paediatric type 1 diabetes mellitus – clinical characterization and analysis of risk factors in the diabetes prospective follow-up registry DPV (Diabetes-Patienten-Verlaufsdokumentation)-registry
  6. Effect of metabolic control on cognitive functions in children and adolescents with type 1 diabetes mellitus
  7. Uric acid and sCD163 as biomarkers for metabolic dysfunction and MAFLD in children and adolescents with overweight and obesity
  8. Endocrinological, immunological and metabolic features of patients with Fabry disease under therapy
  9. Evaluation and management of pediatric thyroid nodules and thyroid cancer at a single institution after adoption of the American Thyroid Association 2015 guidelines
  10. Fasting ketone levels vary by age: implications for differentiating physiologic from pathologic ketotic hypoglycemia
  11. Association of adipocytokines and adipocytokine ratios with cardiovascular risk factors in Japanese preadolescents
  12. Daily vs. monthly oral vitamin D3 for treatment of symptomatic vitamin D deficiency in infants: a randomized controlled trial
  13. Short Communication
  14. Management and outcomes in secondary diabetes among pediatric patients hospitalized with hemophagocytic lymphohistiocytosis
  15. Letter to the Editor
  16. Potential usefulness of assessing serum betamethasone levels during betamethasone therapy
  17. Case Reports
  18. Acquired idiopathic isolated ACTH deficiency with associated autoimmune thyroiditis in pediatrics: case report and review of the literature
  19. A very rare cause of hypertrygliseridemia in infancy: a novel mutation in glycerol-3-phosphate dehydrogenase 1 (GPD1) gene
  20. Difficult to think about but easy to treat: scurvy
  21. Severe hypophosphataemia can be an early sign of osteopetrorickets: a case report
  22. Corrigendum
  23. Diagnosis of adrenal insufficiency in children: a survey among pediatric endocrinologists in North America
Downloaded on 19.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/jpem-2023-0001/html
Scroll to top button