Hereditary 1,25-Dihydroxyvitamin D-Resistant Rickets (HVDRR): Clinical Heterogeneity and Long-Term Efficacious Management of Eight Patients from Four Unrelated Arab Families with a Loss of Function VDR Mutation

    Muhammad Faiyaz‐Ul‐Haque, Waheeb AlDhalaan, Abdullah A. Al-Ashwal, Bassam Bin-Abbas, Afaf Alsagheir, Maram Al‐Otaiby, Zulqurnain Rafiq, Syed Hassan Ejaz Zaidi
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    TLDR Patients with the same genetic mutation for vitamin D-resistant rickets showed different symptoms but all improved with treatment except for hair loss.
    The study described eight patients from four unrelated consanguineous Arab families who were diagnosed with hereditary vitamin D-resistant rickets (HVDRR), a rare disorder caused by inactivating mutations in the vitamin D receptor (VDR) gene. Despite all patients carrying the same c.885C>A (p.Y295*) loss of function mutation in the VDR gene and exhibiting the main features of HVDRR, there was clinical heterogeneity in their symptoms and developmental milestones. Over a period of up to 11 years, the patients were treated and monitored, resulting in the improvement of all clinical symptoms except for alopecia. The study emphasizes the importance of VDR sequencing and laboratory tests for confirming HVDRR diagnosis and for evaluating the effectiveness of treatment.
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