2000
DOI: 10.1359/jbmr.2000.15.12.2330
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Expansile Skeletal Hyperphosphatasia: A New Familial Metabolic Bone Disease

Abstract: We describe a new familial metabolic bone disease characterized by expanding hyperostotic long bones, early onset deafness, premature tooth loss, and episodic hypercalcemia. The condition affects a mother and daughter studied at the age of 36 years and 11 years, respectively. Both individuals lost all hearing in early childhood and suffered premature shedding of teeth. Skeletal pains began just before puberty. Swelling and aching of most middle phalanges in the hands is an especially troublesome manifestation.… Show more

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Cited by 64 publications
(67 citation statements)
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“…Mutation screening of TNFRSF11A resulted in the identification of an 18 bp duplication affecting the signal peptide of RANK as the cause of FEO [83] and a similar duplication of 27 bp in the RANK signal peptide as the cause of early-onset familial PDB [83,84]. Subsequently, a duplication of 15 bp in the signal peptide region of RANK was found to be the cause of expansile skeletal hyperphosphatasia, another disease with clinical features that overlap to an extent with those of FEO and early-onset familial PDB [85,86]. These mutations prevent normal cleavage of the RANK signal peptide [83], and this causes the mutated RANK molecules to accumulate in the Golgi apparatus [87].…”
Section: Tnfrsf11amentioning
confidence: 99%
“…Mutation screening of TNFRSF11A resulted in the identification of an 18 bp duplication affecting the signal peptide of RANK as the cause of FEO [83] and a similar duplication of 27 bp in the RANK signal peptide as the cause of early-onset familial PDB [83,84]. Subsequently, a duplication of 15 bp in the signal peptide region of RANK was found to be the cause of expansile skeletal hyperphosphatasia, another disease with clinical features that overlap to an extent with those of FEO and early-onset familial PDB [85,86]. These mutations prevent normal cleavage of the RANK signal peptide [83], and this causes the mutated RANK molecules to accumulate in the Golgi apparatus [87].…”
Section: Tnfrsf11amentioning
confidence: 99%
“…A fibro-osseous pattern is encountered with evidence of extensive remodeling and deposition of woven bone. Areas of radiolucency are histologically comprised Expansile skeletal hyperphosphatasia (ESH) shows overlapping features with FEO, also being inherited as an autosomal dominant trait [44,45,92,93]. Accelerated bone turnover is seen along with hyperostotic expansion of the long bones with significant pain involving the phalanges, premature tooth exfoliation and deafness.…”
Section: Osteitis Deformans (Paget Disease)mentioning
confidence: 99%
“…Mutations have been identified in four genes that cause PDBrelated syndromes (FEO, ESH, EOPDB and JPD) [5][6][7][8][9], but genetic factors play an important role also in the classic form of PDB. These genes are represented respectively by: TNFRSF11A, which encodes the Receptor Activator of Nuclear factor jB (RANK) for FEO, ESH and EOPDB; TNFRSF11B, which encodes osteoprotegerin (OPG) for JPD; valosin containing protein gene (VCP) which encodes p97 protein for…”
Section: Genes Involved In Classic Pdb and Pdb-related Syndromes Pathmentioning
confidence: 99%