Table 1.
Phenotypic characteristics of three individuals with CLDN19 mutation
Characteristic | Patient |
Normal Values | ||
---|---|---|---|---|
F1.3 | F1.4 | F2.3 | ||
Gender | Female | Female | Female | |
Mutation | p.Gly20Asp/p.Val44Met | p.Gly20Asp/p.Val44Met | p.Gly20Asp/p.Gly20Asp | |
Age at renal symptoms onset, years | 10 | 0.9 | 16 | |
Age at tests, years | 16 | 13 | 16 | |
Organ involvement | ||||
kidney | UTI, NL, NC | UTI, NL, NC | NC | |
eye | PM, Strab, nystagmus | PM | Strab, Myopia, Ir colobomata | |
nerve | Muscular-exercise intolerance | No | Muscular exercise intolerance | |
Blood tests | ||||
SCr, μmol/L | 180 | 200 | 123 | |
inulin clearance, ml/min per 1.73 m2 | — | — | 48.8 | |
eGFR (sMDRD), ml/min per 1.73 m2 | 29 | 30 | 53.7 | |
Mg2+, mmol/L | — | — | 0.59 | 0.73 to 1.06 |
K+, mmol/L | 3.5 | 3.3 | 3.7 | 3.5 to 5 |
HCO3−, mmol/L | 23 | 17 | 28 | 21 to 30 |
Ca2+, mmol/L | 2.1 | 1.84 | 2.35 | 2.2 to 2.6 |
PO43−, mmol/L | 1.32 | 1.74 | 0.82 | 0.8 to 1.5 |
25(OH)vitamin D3, ng/ml | — | — | 13.3 | 9 to 45 |
1,25(OH)2 vitamin D3, pg/ml | — | — | 69 | 18 to 60 |
IPTH, pg/ml | — | 150 | 155 | 15 to 85 |
alkaline phosphatase, IU/L | 207 | 656 | 208 | 100 to 280 |
Urinary tests | ||||
FeMg2+, %a | — | — | 9.9 | <2% |
Ca2+/Cr ratio, mg/mg | 0.9 | 1.2 | 0.9 | <0.4 |
TmPO43−, % | — | — | 83.5 | >85 |
citrate, mg/24 h | 101 | 285 | 362.4 | 400 to 900 |
oxalate, μmol/24 h | 186 | 163 | 232.8 | 200 to 450 |
pH (nocturnal) | — | — | 6.36 | |
proteinuria, mg/24 h | — | — | 510 | <300 |
hematuria, (0 to 3+) | 0 | 0 | 0 | |
drug intake | Calcium pyridoxine | Calcium pyridoxine | No | |
Renal outcome | ||||
eGFR (sMDRD) | ESRD (at age 22) | ESRD (at age 16) | 51 (at age 17) |
UTI, urinary-tract infection; NL, nephrolithiasis; NC, nephrocalcinosis; SCr, serum creatinine; PM, pigmentary maculopathy; Strab, strabismus; Ir, Iris; sMDRD, standard Modifications of Diet in Renal Disease equation; TmPO43−, maximum rate of renal tubular reabsorption of phosphate.
FeMg2+ was calculated as follows: urinary/plasma [Mg2+]/urinary/plasma [creatinine].