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자료유형
학술저널
저자정보
Lee, Ye Seung (Department of Pediatrics, Hallym University College of Medicine) Kim, Hui Kwon (Department of Pediatrics, Hallym University College of Medicine) Kim, Hye Rim (Department of Pediatrics, Hallym University College of Medicine) Lee, Jong Yoon (Department of Pediatrics, Hallym University College of Medicine) Choi, Joong Wan (Department of Pediatrics, Hallym University College of Medicine) Bae, Eun Ju (Department of Pediatrics, Hallym University College of Medicine) Oh, Phil Soo (Department of Pediatrics, Hallym University College of Medicine) Park, Won Il (Department of Pediatrics, Hallym University College of Medicine) Ki, Chang Seok (Department of Laboratory Medicine & Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine) Lee, Hong Jin (Department of Pediatrics, Hallym University College of Medicine)
저널정보
대한소아청소년과학회 Clinical and Experimental Pediatrics Korean journal of pediatrics 제57권 제5호
발행연도
2014.1
수록면
240 - 244 (5page)

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Pseudohypoparathyroidism type Ia (PHP Ia) is a disorder characterized by multiform hormonal resistance including parathyroid hormone (PTH) resistance and Albright hereditary osteodystrophy (AHO). It is caused by heterozygous inactivating mutations within the Gs alpha-encoding GNAS exons. A 9-year-old boy presented with clinical and laboratory abnormalities including hypocalcemia, hyperphosphatemia, PTH resistance, multihormone resistance and AHO (round face, short stature, obesity, brachydactyly and osteoma cutis) which were typical of PHP Ia. He had a history of repeated convulsive episodes that started from the age of 2 months. A cranial computed tomography scan showed bilateral calcifications in the basal ganglia and his intelligence quotient testing indicated mild mental retardation. Family history revealed that the patient's maternal relatives, including his grandmother and 2 of his mother's siblings, had features suggestive of AHO. Sequencing of the GNAS gene of the patient identified a heterozygous nonsense mutation within exon 11 (c.637 C>T). The C>T transversion results in an amino acid substitution from Gln to stop codon at codon 213 ($p.Gln213^*$). To our knowledge, this is a novel mutation in GNAS.

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