TLDR A girl had rickets due to a gene mutation affecting vitamin D response.
Hereditary vitamin D-resistant rickets (HVDRR) was identified in a young girl with a heterozygous missense mutation in the vitamin D receptor (VDR) gene, specifically substituting glutamic acid with alanine at amino acid 420 (E420A). This mutation led to clinical features of rickets and hypocalcemia, despite elevated serum 1,25-dihydroxyvitamin D levels. The girl's father, also carrying the mutation, showed minor symptoms, while the mother was unaffected. The E420A mutation exhibited dominant-negative activity, impairing the function of the wild-type VDR and reducing the response to 1,25(OH)2D3. This case was the first reported instance of HVDRR caused by a single heterozygous mutation in the VDR gene.
151 citations,
June 2010 in “Endocrinology and metabolism clinics of North America” Two rare genetic diseases cause severe rickets in children due to defects in vitamin D metabolism.
42 citations,
July 2007 in “Journal of Biological Chemistry” Most Hairless gene mutations reduce its ability to work with the Vitamin D Receptor, which might explain a certain type of hair loss.
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January 2003 in “KARGER eBooks” HVDRR is caused by VDR gene mutations, leading to vitamin D resistance, treatable with high calcium doses, but alopecia remains permanent.
139 citations,
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6 citations,
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July 2023 in “Journal of medical and health studies” A 3-year-old with vitamin D-resistant rickets and severe hair loss died despite treatment, highlighting the need for improved management of the condition.