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. 2018 Jan 28;7(2):47–59. doi: 10.1055/s-0038-1624577

Table 2. Inherited causes of Fanconi syndrome.

Disease Inherited causes Gene Exons Protein encoded Chromosome Inheritance pattern Salient features
Fanconi syndrome Cystinosis CTNS 12 Cystinosin 17p13.2 Autosomal recessive Infantile nephropathic cystinosis: Most severe form, occur at 3–4 mo of age with polyuria, polydipsia, failure to thrive, vomiting, constipation, growth retardation, and severe rickets
Adult nonnephropathic cystinosis: Photophobia is the only symptom due to deposition of cystine crystals in the cornea
Late-juvenile or adolescent nephropathic cystinosis: Manifests at 10–12 y of age, with proteinuria due to glomerular damage, photophobia, chronic headaches
Tyrosinemia type 1 FAH 14 Fumarylacetoacetate hydrolase 15q25.1 Autosomal recessive Failure to thrive, liver and kidney failure, rickets, increased risk of hepatocellular carcinoma
Fanconi-Bickel SLC2A2/GLUT2 11 Glucose transporter GLUT2 3q26.2 Autosomal recessive Hepatorenal glycogen accumulation, proximal renal tubular dysfunction, and impaired utilization of glucose and galactose
Wilson disease ATP7B 21 Copper-transporting P-type ATPase 13q14.3 Autosomal recessive Swelling of the legs, yellowish skin, tremors, muscle stiffness, trouble speaking, and personality changes. Vitamin D resistant rickets may occur
Galactosemia GALT 11 Galactose-1-phosphate uridylyltransferase 9p13.3 Autosomal recessive Vomiting, jaundice, hepatosplenomegaly, food intolerance, hypoglycemia, renal tubular dysfunction, muscle hypotonia, sepsis, and cataract
Lowe syndrome OCRL 23 Phosphatidylinositol-4,5-bisphosphate-5-phosphatase Xq26.1 X-linked recessive Renal abnormalities such as metabolic acidosis, polyuria, dehydration, hypophosphatemic rickets, neonatal hypotonia, delayed development of motor skills like sitting, standing, walking, behavioral problems, and seizures
Hereditary fructose intolerance ALDOB 9 Aldolase, fructose-Bisphosphate B 13q14.3 Autosomal recessive Vomiting, hypoglycemia, jaundice, hemorrhage, hepatomegaly, hyperuricemia, and potentially kidney failure
Glycogen storage disorder type 1A G6PC 5 Glucose-6-phosphatase, catalytic 17q21.31 Autosomal recessive Severe hypoglycemia and hepatomegaly due to accumulation of glycogen, growth retardation, hyperlipidemia, hyperuricemia, and hepatic adenoma in adulthood