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<meta name="keywords" content="C4693864, disease or syndrome, hftc3, kl, tumoral calcinosis, familial, hyperphosphatemic, 3, tumoral calcinosis, hyperphosphatemic, familial, 3, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Hyperphosphatemic familial tumoral calcinosis (HFTC) is a rare autosomal recessive metabolic disorder characterized by the progressive deposition of basic calcium phosphate crystals in periarticular spaces, soft tissues, and sometimes bone (Chefetz et al., 2005). The biochemical hallmark of tumoral calcinosis is hyperphosphatemia caused by increased renal absorption of phosphate due to loss-of-function mutations in the FGF23 (605380) or GALNT3 (601756) gene. The term 'hyperostosis-hyperphosphatemia syndrome' (HHS) is sometimes used when the disorder is characterized by involvement of the long bones associated with the radiographic findings of periosteal reaction and cortical hyperostosis. Although some have distinguished HHS from FTC by the presence of bone involvement and the absence of skin involvement (Frishberg et al., 2005), Ichikawa et al. (2010) concluded that the 2 entities represent a continuous spectrum of the same disease, best described as familial hyperphosphatemic tumoral calcinosis.&#13; HFTC is considered to be the clinical converse of autosomal dominant hypophosphatemic rickets (ADHR; 193100), an allelic disorder caused by gain-of-function mutations in the FGF23 gene and associated with hypophosphatemia and decreased renal phosphate absorption (Chefetz et al., 2005; Ichikawa et al., 2005).&#13; For a general phenotypic description and a discussion of genetic heterogeneity of HFTC, see 211900." /><meta name="robots" content="index,nofollow,noarchive" />
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<title>Tumoral calcinosis, hyperphosphatemic, familial, 3 (Concept Id: C4693864)
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<!--
UID=1638917
ConceptID=C4693864
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<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Tumoral calcinosis, hyperphosphatemic, familial, 3<span class="h1sub">(HFTC3)</span></div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1638917</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information."><span class="highlight" style="background-color:">C4693864</span></a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
<td>HFTC3; TUMORAL CALCINOSIS, FAMILIAL, HYPERPHOSPHATEMIC, 3; TUMORAL CALCINOSIS, HYPERPHOSPHATEMIC, FAMILIAL, 3</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td><a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#target-gene-loc">Gene (location):<img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a><div class="display-none" id="target-gene-loc">
Gene(s) directly associated with<br />
this condition or phenotype.</div></td>
<td><a target="_blank" title="KL - ID: 9365 - NCBI Gene" href="/gene/9365" class="medgenPMinfo">KL</a> (13q13.1)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>Monarch Initiative:</td>
<td><a href="https://monarchinitiative.org/disease/MONDO:0060715" target="_blank">MONDO:0060715</a></td></tr>
<tr><td>OMIM<span class="superscript">®</span>:</td>
<td><a href="https://omim.org/entry/617994" target="_blank">617994</a></td></tr>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">Hyperphosphatemic familial tumoral calcinosis (HFTC) is a rare autosomal recessive metabolic disorder characterized by the progressive deposition of basic calcium phosphate crystals in periarticular spaces, soft tissues, and sometimes bone (Chefetz et al., 2005). The biochemical hallmark of tumoral calcinosis is hyperphosphatemia caused by increased renal absorption of phosphate due to loss-of-function mutations in the FGF23 (605380) or GALNT3 (601756) gene. The term 'hyperostosis-hyperphosphatemia syndrome' (HHS) is sometimes used when the disorder is characterized by involvement of the long bones associated with the radiographic findings of periosteal reaction and cortical hyperostosis. Although some have distinguished HHS from FTC by the presence of bone involvement and the absence of skin involvement (Frishberg et al., 2005), Ichikawa et al. (2010) concluded that the 2 entities represent a continuous spectrum of the same disease, best described as familial hyperphosphatemic tumoral calcinosis.&#13; HFTC is considered to be the clinical converse of autosomal dominant hypophosphatemic rickets (ADHR; 193100), an allelic disorder caused by gain-of-function mutations in the FGF23 gene and associated with hypophosphatemia and decreased renal phosphate absorption (Chefetz et al., 2005; Ichikawa et al., 2005).&#13; For a general phenotypic description and a discussion of genetic heterogeneity of HFTC, see 211900. [from <a title="Online Mendelian Inheritance in Man" href="http://www.omim.org" class="defSource" target="_blank">OMIM</a>]</div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Additional_description">Additional description</h1><a sid="117" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="mgSection"><strong>From MedlinePlus Genetics</strong><br />Hyperphosphatemic familial tumoral calcinosis (HFTC) is a condition characterized by an increase in the levels of phosphate in the blood (hyperphosphatemia) and abnormal deposits of phosphate and calcium (calcinosis) in the body's tissues. Calcinosis typically develops in early childhood to early adulthood, although in some people the deposits first appear in infancy or in late adulthood. Calcinosis usually occurs in and just under skin tissue around the joints, most often the hips, shoulders, and elbows. Calcinosis may also develop in the soft tissue of the feet, legs, and hands. Rarely, calcinosis occurs in blood vessels or in the brain and can cause serious health problems. The deposits develop over time and vary in size. Larger deposits form masses that are noticeable under the skin and can interfere with the function of joints and impair movement. These large deposits may appear tumor-like (tumoral), but they are not tumors or cancerous. The number and frequency of deposits varies among affected individuals; some develop few deposits during their lifetime, while others may develop many in a short period of time.<br /><br />A similar condition called hyperphosphatemia-hyperostosis syndrome (HHS) results in increased levels of phosphate in the blood, excessive bone growth, and bone lesions. This condition used to be considered a separate disorder, but it is now thought to be a mild variant of HFTC.<br /><br />Other features of HFTC include eye abnormalities such as calcium buildup in the clear front covering of the eye (corneal calcification) or angioid streaks that occur when tiny breaks form in the layer of tissue at the back of the eye called Bruch's membrane. Inflammation of the long bones (diaphysis) or excessive bone growth (hyperostosis) may occur. Some affected individuals have dental abnormalities. In males, small crystals of cholesterol can accumulate (microlithiasis) in the testicles, which usually causes no health problems.  <a target="_blank" href="https://medlineplus.gov/genetics/condition/hyperphosphatemic-familial-tumoral-calcinosis">https://medlineplus.gov/genetics/condition/hyperphosphatemic-familial-tumoral-calcinosis</a></div></div>
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<div class="portlet mgSection" id="ID_102">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_features">Clinical features</h1><a sid="102" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat"><strong>From HPO</strong><br />
<div class="divPopper rprt" id="clin_41971"><div><strong>Fatigue</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>41971</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0015672</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">A subjective feeling of tiredness characterized by a lack of energy and motivation.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/41971">Feature record</a> | <a href="/medgen?term=%22Fatigue%22%5BClinical%20Features%5D%20OR%2041971%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_19404"><div><strong>Polyuria</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>19404</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0032617</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">An increased rate of urine production.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/19404">Feature record</a> | <a href="/medgen?term=%22Polyuria%22%5BClinical%20Features%5D%20OR%2019404%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_98227"><div><strong>Nephrolithiasis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>98227</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0392525</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">The presence of calculi (stones) in the kidneys.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/98227">Feature record</a> | <a href="/medgen?term=%22Nephrolithiasis%22%5BClinical%20Features%5D%20OR%2098227%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_9149"><div><strong>Headache</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>9149</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0018681</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">Cephalgia, or pain sensed in various parts of the head, not confined to the area of distribution of any nerve.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/9149">Feature record</a> | <a href="/medgen?term=%22Headache%22%5BClinical%20Features%5D%20OR%209149%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_43214"><div><strong>Polydipsia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>43214</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0085602</a></dd><dt><span class="dotprefix"></span></dt><dd>Sign or Symptom</dd></dl></div></div></div>
<div class="spaceAbove">Excessive thirst manifested by excessive fluid intake.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/43214">Feature record</a> | <a href="/medgen?term=%22Polydipsia%22%5BClinical%20Features%5D%20OR%2043214%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_18222"><div><strong>Osteopenia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>18222</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0029453</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Osteopenia is a term to define bone density that is not normal but also not as low as osteoporosis. By definition from the World Health Organization osteopenia is defined by bone densitometry as a T score -1 to -2.5.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/18222">Feature record</a> | <a href="/medgen?term=%22Osteopenia%22%5BClinical%20Features%5D%20OR%2018222%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_124360"><div><strong>Cerebral calcification</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>124360</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0270685</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">The presence of calcium deposition within the cerebrum.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/124360">Feature record</a> | <a href="/medgen?term=%22Cerebral%20calcification%22%5BClinical%20Features%5D%20OR%20124360%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_322396"><div><strong>Metacarpal periosteal thickening</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>322396</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1834347</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove nowrap">See: <a href="/medgen/322396">Feature record</a> | <a href="/medgen?term=%22Metacarpal%20periosteal%20thickening%22%5BClinical%20Features%5D%20OR%20322396%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_340927"><div><strong>Calvarial osteosclerosis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>340927</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1855657</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">An increase in bone density affecting the calvaria (roof of the skull).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/340927">Feature record</a> | <a href="/medgen?term=%22Calvarial%20osteosclerosis%22%5BClinical%20Features%5D%20OR%20340927%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_1375297"><div><strong>Achilles tendon calcification</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1375297</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4476778</a></dd><dt><span class="dotprefix"></span></dt><dd>Anatomical Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">Ectopic deposition of calcium salts in the Achilles tendon.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1375297">Feature record</a> | <a href="/medgen?term=%22Achilles%20tendon%20calcification%22%5BClinical%20Features%5D%20OR%201375297%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_5686"><div><strong>Hypercalcemia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>5686</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0020437</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">An abnormally increased calcium concentration in the blood.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/5686">Feature record</a> | <a href="/medgen?term=%22Hypercalcemia%22%5BClinical%20Features%5D%20OR%205686%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_39326"><div><strong>Hyperphosphatemia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>39326</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0085681</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">An abnormally increased phosphate concentration in the blood.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/39326">Feature record</a> | <a href="/medgen?term=%22Hyperphosphatemia%22%5BClinical%20Features%5D%20OR%2039326%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_167805"><div><strong>Elevated circulating parathyroid hormone level</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>167805</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0857973</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">An abnormal increased concentration of parathyroid hormone.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/167805">Feature record</a> | <a href="/medgen?term=%22Elevated%20circulating%20parathyroid%20hormone%20level%22%5BClinical%20Features%5D%20OR%20167805%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_1619023"><div><strong>High serum calcitriol</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1619023</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4531136</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">An increased concentration of calcitriol in the blood. Calcitriol is also known as 1,25-dihydroxycholecalciferol or 1,25-dihydroxyvitamin D3.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1619023">Feature record</a> | <a href="/medgen?term=%22High%20serum%20calcitriol%22%5BClinical%20Features%5D%20OR%201619023%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_75767"><div><strong>Parathyroid hyperplasia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>75767</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0271844</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Hyperplasia of the parathyroid gland.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/75767">Feature record</a> | <a href="/medgen?term=%22Parathyroid%20hyperplasia%22%5BClinical%20Features%5D%20OR%2075767%5Buid%5D">Search on this feature</a></div></div><div class="TreeLite" data-jigconfig="closed: 1"><div class="concept-def"><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().openAll(); return false;">Show all</a><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().closeAll(); return false;">Hide all</a></div><ul><li><span class="TLline">Abnormality of metabolism/homeostasis</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_167805" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Elevated circulating parathyroid hormone level</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_1619023" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">High serum calcitriol</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_5686" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hypercalcemia</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_39326" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hyperphosphatemia</a></span></li></ul></li><li><span class="TLline">Abnormality of the endocrine system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_75767" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Parathyroid hyperplasia</a></span></li></ul></li><li><span class="TLline">Abnormality of the genitourinary system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_98227" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Nephrolithiasis</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_19404" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Polyuria</a></span></li></ul></li><li><span class="TLline">Abnormality of the musculoskeletal system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_1375297" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Achilles tendon calcification</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_340927" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Calvarial osteosclerosis</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_124360" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Cerebral calcification</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_322396" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Metacarpal periosteal thickening</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_18222" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Osteopenia</a></span></li></ul></li><li><span class="TLline">Abnormality of the nervous system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_9149" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Headache</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_43214" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Polydipsia</a></span></li></ul></li><li><span class="TLline">Constitutional symptom</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_41971" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Fatigue</a></span></li></ul></li></ul></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/32457699">Hyperphosphatemic Tumoral Calcinosis: Pathogenesis, Clinical Presentation, and Challenges in Management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Boyce AM,
Lee AE,
Roszko KL,
Gafni RI</span><br />
<span class="medgenPMjournal">Front Endocrinol (Lausanne)</span>
2020;11:293.
Epub 2020 May 8
doi: 10.3389/fendo.2020.00293.
<span class="bold">PMID: </span><a href="/pubmed/32457699" target="_blank">32457699</a><a href="/pmc/articles/PMC7225339" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28585220">Inherited Arterial Calcification Syndromes: Etiologies and Treatment Concepts.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Nitschke Y,
Rutsch F</span><br />
<span class="medgenPMjournal">Curr Osteoporos Rep</span>
2017 Aug;15(4):255-270.
doi: 10.1007/s11914-017-0370-3.
<span class="bold">PMID: </span><a href="/pubmed/28585220" target="_blank">28585220</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (2)</a></div></div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/36213261">A novel FGF23 mutation in hyperphosphatemic familial tumoral calcinosis and its deleterious effect on protein O-glycosylation.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Zuo Q,
Yang W,
Liu B,
Yan D,
Wang Z,
Wang H,
Deng W,
Cao X,
Yang J</span><br />
<span class="medgenPMjournal">Front Endocrinol (Lausanne)</span>
2022;13:1008800.
Epub 2022 Sep 23
doi: 10.3389/fendo.2022.1008800.
<span class="bold">PMID: </span><a href="/pubmed/36213261" target="_blank">36213261</a><a href="/pmc/articles/PMC9540505" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29923062">Hyperphosphatemic familial tumoral calcinosis secondary to fibroblast growth factor 23 (FGF23) mutation: a report of two affected families and review of the literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chakhtoura M,
Ramnitz MS,
Khoury N,
Nemer G,
Shabb N,
Abchee A,
Berberi A,
Hourani M,
Collins M,
Ichikawa S,
El Hajj Fuleihan G</span><br />
<span class="medgenPMjournal">Osteoporos Int</span>
2018 Sep;29(9):1987-2009.
Epub 2018 Jun 20
doi: 10.1007/s00198-018-4574-x.
<span class="bold">PMID: </span><a href="/pubmed/29923062" target="_blank">29923062</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28585220">Inherited Arterial Calcification Syndromes: Etiologies and Treatment Concepts.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Nitschke Y,
Rutsch F</span><br />
<span class="medgenPMjournal">Curr Osteoporos Rep</span>
2017 Aug;15(4):255-270.
doi: 10.1007/s11914-017-0370-3.
<span class="bold">PMID: </span><a href="/pubmed/28585220" target="_blank">28585220</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27164190">Phenotypic and Genotypic Characterization and Treatment of a Cohort With Familial Tumoral Calcinosis/Hyperostosis-Hyperphosphatemia Syndrome.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ramnitz MS,
Gourh P,
Goldbach-Mansky R,
Wodajo F,
Ichikawa S,
Econs MJ,
White KE,
Molinolo A,
Chen MY,
Heller T,
Del Rivero J,
Seo-Mayer P,
Arabshahi B,
Jackson MB,
Hatab S,
McCarthy E,
Guthrie LC,
Brillante BA,
Gafni RI,
Collins MT</span><br />
<span class="medgenPMjournal">J Bone Miner Res</span>
2016 Oct;31(10):1845-1854.
Epub 2016 Sep 20
doi: 10.1002/jbmr.2870.
<span class="bold">PMID: </span><a href="/pubmed/27164190" target="_blank">27164190</a><a href="/pmc/articles/PMC5071128" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19013236">Familial tumoral calcinosis and the role of O-glycosylation in the maintenance of phosphate homeostasis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chefetz I,
Sprecher E</span><br />
<span class="medgenPMjournal">Biochim Biophys Acta</span>
2009 Sep;1792(9):847-52.
Epub 2008 Oct 25
doi: 10.1016/j.bbadis.2008.10.008.
<span class="bold">PMID: </span><a href="/pubmed/19013236" target="_blank">19013236</a><a href="/pmc/articles/PMC3169301" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (11)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/39395830">Familial tumoral calcinosis: a rare autosomal recessive disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Moran H,
Malvar M,
Yuksel S,
Bleich D</span><br />
<span class="medgenPMjournal">BMJ Case Rep</span>
2024 Oct 11;17(10)
doi: 10.1136/bcr-2023-259455.
<span class="bold">PMID: </span><a href="/pubmed/39395830" target="_blank">39395830</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35338393">Use of Teriparatide in Hyperphosphatemic Familial Tumor Calcinosis: Evaluating the Interaction Between FGF23 and PTH on the Phosphaturic Effect.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pallone SG,
Kunii IS,
da Silva REC,
Lazaretti-Castro M</span><br />
<span class="medgenPMjournal">Calcif Tissue Int</span>
2022 Jul;111(1):102-106.
Epub 2022 Mar 25
doi: 10.1007/s00223-022-00969-x.
<span class="bold">PMID: </span><a href="/pubmed/35338393" target="_blank">35338393</a></div>
<div class="nl"><a target="_blank" href="/pubmed/25249269">Long-term clinical outcome and phenotypic variability in hyperphosphatemic familial tumoral calcinosis and hyperphosphatemic hyperostosis syndrome caused by a novel GALNT3 mutation; case report and review of the literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Rafaelsen S,
Johansson S,
Ræder H,
Bjerknes R</span><br />
<span class="medgenPMjournal">BMC Genet</span>
2014 Sep 24;15:98.
doi: 10.1186/s12863-014-0098-3.
<span class="bold">PMID: </span><a href="/pubmed/25249269" target="_blank">25249269</a><a href="/pmc/articles/PMC4181413" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24013354">A mildly painful wrist mass.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tsang WK,
Tam KF</span><br />
<span class="medgenPMjournal">Skeletal Radiol</span>
2014 Mar;43(3):413-5; 371-2.
doi: 10.1007/s00256-013-1711-7.
<span class="bold">PMID: </span><a href="/pubmed/24013354" target="_blank">24013354</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22396161">FGF23 and syndromes of abnormal renal phosphate handling.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Bergwitz C,
Jüppner H</span><br />
<span class="medgenPMjournal">Adv Exp Med Biol</span>
2012;728:41-64.
doi: 10.1007/978-1-4614-0887-1_3.
<span class="bold">PMID: </span><a href="/pubmed/22396161" target="_blank">22396161</a><a href="/pmc/articles/PMC5234086" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (10)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/35338393">Use of Teriparatide in Hyperphosphatemic Familial Tumor Calcinosis: Evaluating the Interaction Between FGF23 and PTH on the Phosphaturic Effect.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Pallone SG,
Kunii IS,
da Silva REC,
Lazaretti-Castro M</span><br />
<span class="medgenPMjournal">Calcif Tissue Int</span>
2022 Jul;111(1):102-106.
Epub 2022 Mar 25
doi: 10.1007/s00223-022-00969-x.
<span class="bold">PMID: </span><a href="/pubmed/35338393" target="_blank">35338393</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27164190">Phenotypic and Genotypic Characterization and Treatment of a Cohort With Familial Tumoral Calcinosis/Hyperostosis-Hyperphosphatemia Syndrome.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ramnitz MS,
Gourh P,
Goldbach-Mansky R,
Wodajo F,
Ichikawa S,
Econs MJ,
White KE,
Molinolo A,
Chen MY,
Heller T,
Del Rivero J,
Seo-Mayer P,
Arabshahi B,
Jackson MB,
Hatab S,
McCarthy E,
Guthrie LC,
Brillante BA,
Gafni RI,
Collins MT</span><br />
<span class="medgenPMjournal">J Bone Miner Res</span>
2016 Oct;31(10):1845-1854.
Epub 2016 Sep 20
doi: 10.1002/jbmr.2870.
<span class="bold">PMID: </span><a href="/pubmed/27164190" target="_blank">27164190</a><a href="/pmc/articles/PMC5071128" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27163355">Topical Sodium Thiosulfate: A Treatment for Calcifications in Hyperphosphatemic Familial Tumoral Calcinosis?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Jost J,
Bahans C,
Courbebaisse M,
Tran TA,
Linglart A,
Benistan K,
Lienhardt A,
Mutar H,
Pfender E,
Ratsimbazafy V,
Guigonis V</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2016 Jul;101(7):2810-5.
Epub 2016 May 10
doi: 10.1210/jc.2016-1087.
<span class="bold">PMID: </span><a href="/pubmed/27163355" target="_blank">27163355</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24668887">Hyperphosphatemic familial tumoral calcinosis: response to acetazolamide and postulated mechanisms.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Finer G,
Price HE,
Shore RM,
White KE,
Langman CB</span><br />
<span class="medgenPMjournal">Am J Med Genet A</span>
2014 Jun;164A(6):1545-9.
Epub 2014 Mar 25
doi: 10.1002/ajmg.a.36476.
<span class="bold">PMID: </span><a href="/pubmed/24668887" target="_blank">24668887</a></div>
<div class="nl"><a target="_blank" href="/pubmed/20219587">Tumor-induced osteomalacia associated with a maxillofacial tumor producing fibroblast growth factor 23: report of a case and review of the literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Mori Y,
Ogasawara T,
Motoi T,
Shimizu Y,
Chikazu D,
Tamura K,
Fukumoto S,
Takato T</span><br />
<span class="medgenPMjournal">Oral Surg Oral Med Oral Pathol Oral Radiol Endod</span>
2010 Mar;109(3):e57-63.
doi: 10.1016/j.tripleo.2009.10.052.
<span class="bold">PMID: </span><a href="/pubmed/20219587" target="_blank">20219587</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (10)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/27163355">Topical Sodium Thiosulfate: A Treatment for Calcifications in Hyperphosphatemic Familial Tumoral Calcinosis?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Jost J,
Bahans C,
Courbebaisse M,
Tran TA,
Linglart A,
Benistan K,
Lienhardt A,
Mutar H,
Pfender E,
Ratsimbazafy V,
Guigonis V</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2016 Jul;101(7):2810-5.
Epub 2016 May 10
doi: 10.1210/jc.2016-1087.
<span class="bold">PMID: </span><a href="/pubmed/27163355" target="_blank">27163355</a></div>
<div class="nl"><a target="_blank" href="/pubmed/25249269">Long-term clinical outcome and phenotypic variability in hyperphosphatemic familial tumoral calcinosis and hyperphosphatemic hyperostosis syndrome caused by a novel GALNT3 mutation; case report and review of the literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Rafaelsen S,
Johansson S,
Ræder H,
Bjerknes R</span><br />
<span class="medgenPMjournal">BMC Genet</span>
2014 Sep 24;15:98.
doi: 10.1186/s12863-014-0098-3.
<span class="bold">PMID: </span><a href="/pubmed/25249269" target="_blank">25249269</a><a href="/pmc/articles/PMC4181413" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24668887">Hyperphosphatemic familial tumoral calcinosis: response to acetazolamide and postulated mechanisms.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Finer G,
Price HE,
Shore RM,
White KE,
Langman CB</span><br />
<span class="medgenPMjournal">Am J Med Genet A</span>
2014 Jun;164A(6):1545-9.
Epub 2014 Mar 25
doi: 10.1002/ajmg.a.36476.
<span class="bold">PMID: </span><a href="/pubmed/24668887" target="_blank">24668887</a></div>
<div class="nl"><a target="_blank" href="/pubmed/20219587">Tumor-induced osteomalacia associated with a maxillofacial tumor producing fibroblast growth factor 23: report of a case and review of the literature.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Mori Y,
Ogasawara T,
Motoi T,
Shimizu Y,
Chikazu D,
Tamura K,
Fukumoto S,
Takato T</span><br />
<span class="medgenPMjournal">Oral Surg Oral Med Oral Pathol Oral Radiol Endod</span>
2010 Mar;109(3):e57-63.
doi: 10.1016/j.tripleo.2009.10.052.
<span class="bold">PMID: </span><a href="/pubmed/20219587" target="_blank">20219587</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19255228">Familial tumoral calcinosis: a forty-year follow-up on one family.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Carmichael KD,
Bynum JA,
Evans EB</span><br />
<span class="medgenPMjournal">J Bone Joint Surg Am</span>
2009 Mar 1;91(3):664-71.
doi: 10.2106/JBJS.G.01512.
<span class="bold">PMID: </span><a href="/pubmed/19255228" target="_blank">19255228</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (7)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/38916164">Novel genetic mutation associated with hyperphosphatemic familial tumoral calcinosis/hyperostosis-hyperphosphatemia syndrome treated with denosumab: a case report.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Fabbriciani G,
Colombini A,
Messina C,
Adami G</span><br />
<span class="medgenPMjournal">Reumatismo</span>
2024 Jun 24;76(2)
doi: 10.4081/reumatismo.2024.1687.
<span class="bold">PMID: </span><a href="/pubmed/38916164" target="_blank">38916164</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27164190">Phenotypic and Genotypic Characterization and Treatment of a Cohort With Familial Tumoral Calcinosis/Hyperostosis-Hyperphosphatemia Syndrome.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ramnitz MS,
Gourh P,
Goldbach-Mansky R,
Wodajo F,
Ichikawa S,
Econs MJ,
White KE,
Molinolo A,
Chen MY,
Heller T,
Del Rivero J,
Seo-Mayer P,
Arabshahi B,
Jackson MB,
Hatab S,
McCarthy E,
Guthrie LC,
Brillante BA,
Gafni RI,
Collins MT</span><br />
<span class="medgenPMjournal">J Bone Miner Res</span>
2016 Oct;31(10):1845-1854.
Epub 2016 Sep 20
doi: 10.1002/jbmr.2870.
<span class="bold">PMID: </span><a href="/pubmed/27164190" target="_blank">27164190</a><a href="/pmc/articles/PMC5071128" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27163355">Topical Sodium Thiosulfate: A Treatment for Calcifications in Hyperphosphatemic Familial Tumoral Calcinosis?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Jost J,
Bahans C,
Courbebaisse M,
Tran TA,
Linglart A,
Benistan K,
Lienhardt A,
Mutar H,
Pfender E,
Ratsimbazafy V,
Guigonis V</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2016 Jul;101(7):2810-5.
Epub 2016 May 10
doi: 10.1210/jc.2016-1087.
<span class="bold">PMID: </span><a href="/pubmed/27163355" target="_blank">27163355</a></div>
<div class="nl"><a target="_blank" href="/pubmed/22247037">Mechanism of FGF23 processing in fibrous dysplasia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Bhattacharyya N,
Wiench M,
Dumitrescu C,
Connolly BM,
Bugge TH,
Patel HV,
Gafni RI,
Cherman N,
Cho M,
Hager GL,
Collins MT</span><br />
<span class="medgenPMjournal">J Bone Miner Res</span>
2012 May;27(5):1132-41.
doi: 10.1002/jbmr.1546.
<span class="bold">PMID: </span><a href="/pubmed/22247037" target="_blank">22247037</a><a href="/pmc/articles/PMC7448291" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/16868048">The role of mutant UDP-N-acetyl-alpha-D-galactosamine-polypeptide N-acetylgalactosaminyltransferase 3 in regulating serum intact fibroblast growth factor 23 and matrix extracellular phosphoglycoprotein in heritable tumoral calcinosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Garringer HJ,
Fisher C,
Larsson TE,
Davis SI,
Koller DL,
Cullen MJ,
Draman MS,
Conlon N,
Jain A,
Fedarko NS,
Dasgupta B,
White KE</span><br />
<span class="medgenPMjournal">J Clin Endocrinol Metab</span>
2006 Oct;91(10):4037-42.
Epub 2006 Jul 25
doi: 10.1210/jc.2006-0305.
<span class="bold">PMID: </span><a href="/pubmed/16868048" target="_blank">16868048</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (7)</a></div></div>
</div>
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<h2 class="offscreen_noflow">Supplemental Content</h2>
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<div class="portlet_content ln"><ul id="my-toc"></ul></div>
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<div class="portlet_content ln"><ul><li><a href="/gtr/tests?term=C4693864%5bDISCUI%5d&amp;filter=method%3A2%5F8" target="_blank">Deletion/duplication analysis (4)</a></li>
<li><a href="/gtr/tests?term=C4693864%5bDISCUI%5d&amp;filter=method%3A2%5F7" target="_blank">Sequence analysis of the entire coding region (4)</a></li>
<li><a href="/gtr/tests?term=C4693864%5bDISCUI%5d&amp;filter=method%3A2%5F19" target="_blank">Targeted variant analysis (1)</a></li>
<li class="portletSeeAll portletSeeAllPad"><total><a href="/gtr/tests?term=C4693864%5bDISCUI%5d" target="_blank">See all (5)</a></total></li>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_resources">Clinical resources</h1><a sid="119" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul><li><a href="https://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=617994" target="_blank">OMIM</a></li><li><a href="https://clinicaltrials.gov/search?cond=Tumoral%20calcinosis,%20hyperphosphatemic,%20familial,%203" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Practice_guidelines">Practice guidelines</h1><a sid="121" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(tumoral%20calcinosis%2C%20hyperphosphatemic%2C%20familial%2C%203)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Molecular_resources">Molecular resources</h1><a sid="115" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul><li><a href="http://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=604824" target="_blank">OMIM</a></li><li><a href="/clinvar/?term=9365[geneid]" target="_blank">View KL variations in ClinVar</a></li><li><a href="/nuccore/224809281" target="_blank">RefSeqGene</a></li><li><a href="https://catalog.coriell.org/Search?q=617994" target="_blank">Coriell Institute for Medical Research</a></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="https://www.malacards.org/card/tumoral_calcinosis_hyperphosphatemic_familial_3" target="_blank">MalaCards</a></li><li><a href="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v:project=medlineplus&amp;query=Tumoral%20calcinosis,%20hyperphosphatemic,%20familial,%203" target="_blank">MedlinePlus</a></li><li><a href="https://medlineplus.gov/genetics/condition/hyperphosphatemic-familial-tumoral-calcinosis" target="_blank">MedlinePlusGenetics (GHR)</a></li><li><a href="https://rarediseases.info.nih.gov/diseases/16282/disease" target="_blank">NCATS Office of Rare Diseases Research (GARD)</a></li></ul></div>
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<a href="/pubmed/clinical?term=Tumoral%20calcinosis,%20hyperphosphatemic,%20familial,%203" ref="ncbi_uid=&amp;discoId=gtr_reviews&amp;linkpos=1&amp;linkpostotal=2" target="_blank">PubMed Clinical Queries</a>
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<a href="/pubmed?term=Tumoral%20calcinosis,%20hyperphosphatemic,%20familial,%203%20AND%20humans[mesh]%20AND%20review[publication%20type]" ref="ncbi_uid=&amp;discoId=gtr_reviews&amp;linkpos=2&amp;linkpostotal=2" target="_blank">Reviews in PubMed</a>
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<h3>Related information</h3>
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<a class="brieflinkpopperctrl" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=1638917" ref="log$=recordlinks">ClinVar</a>
<div class="brieflinkpop offscreen_noflow">Related medical variations</div>
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