TY - JOUR
T1 - Generalized arterial calcification of infancy
T2 - Two siblings with prolonged survival
AU - Ciana, Giovanni
AU - Trappan, Antonella
AU - Bembi, Bruno
AU - Benettoni, Alessandra
AU - Maso, Giampaolo
AU - Zennaro, Floriana
AU - Ruf, Nico
AU - Schnabel, Dirk
AU - Rutsch, Frank
PY - 2006/4
Y1 - 2006/4
N2 - In generalized arterial calcification of infancy (OMIM no. 208000), calcification of the media and proliferation of the intima lead to arterial stenoses. Most affected patients present with untreatable arterial hypertension and die within the first months of life. The disease has recently been linked to mutations in ENPP1. We report two siblings with prolonged survival, both of whom carry the compound heterozygous ENPP1 mutations C.913C>A and c.1164+2T>A. In both siblings, spontaneous regression of arterial calcifications occurred, and antihypertensive treatment could be tapered off gradually. In some patients, the natural course of GACI may be more favourable than previously assumed.
AB - In generalized arterial calcification of infancy (OMIM no. 208000), calcification of the media and proliferation of the intima lead to arterial stenoses. Most affected patients present with untreatable arterial hypertension and die within the first months of life. The disease has recently been linked to mutations in ENPP1. We report two siblings with prolonged survival, both of whom carry the compound heterozygous ENPP1 mutations C.913C>A and c.1164+2T>A. In both siblings, spontaneous regression of arterial calcifications occurred, and antihypertensive treatment could be tapered off gradually. In some patients, the natural course of GACI may be more favourable than previously assumed.
KW - ENPP1
KW - GACI
KW - Generalized arterial calcification of infancy
KW - Hypophosphatemia
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U2 - 10.1007/s00431-005-0035-6
DO - 10.1007/s00431-005-0035-6
M3 - Article
C2 - 16315058
AN - SCOPUS:33344454730
VL - 165
SP - 258
EP - 263
JO - European Journal of Pediatrics
JF - European Journal of Pediatrics
SN - 0340-6199
IS - 4
ER -