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hypomagnesemia type 1; hypomagnesemia with secondary hypocalcemia (HSH)
Hereditary defect in Mg+2 absorption
Pathology:
1) defect in Mg+2 absorption resulting in hypomagnesemia
2) hypocalcemia secondary to parathyroid failure resulting from Mg+2 deficiency
3) calcinosis
Genetics:
1) autosomal recessive disease
2) mutations in the TRPM6 gene
Clinical manifestations:
1) neurologic symptoms of hypomagnesemic & hypocalcemia
- seizures & muscle spasms, during infancy
Laboratory:
1) serum Mg+2 low
2) 24 hour urine Mg+2
3) serum Ca+2 low
Complications:
1) untreated, the disorder may be fatal or may result in neurological damage
Management:
1) restoring concentrations of serum Mg+2 to normal values by high-dose Mg+2 supplementation can overcome defect in Mg+2 absorption & in serum Ca+2.
Related
transient receptor potential cation channel subfamily M member 6; channel kinase 2; melastatin-related TRP cation channel 6 (TRPM6, CHAK2)
General
familial hypomagnesemia
Database Correlations
OMIM 602014
References
- UniProt :accession Q9BX84
- OMIM :accession 602014