Case Report
Successful Medical Therapy for Hypophosphatemic Rickets due to Mitochondrial Complex I Deficiency Induced de Toni-Debré-Fanconi Syndrome
Table 1
Biochemical data over the course of followup.
| Age (years) | Calcium (8–10.5 mg/dL) | Phosphorus (4.2–6.5 mg/dL) | ALP (55–380 U/L) |
25-OHD (>30 ng/mL) | 1,25-OHD (15–90 pg/mL) | PTH (10–65 pg/mL) | Treatment |
| 1 | 10.1 | 3.5 | 1171 | 22 | 74 | 279 | Started on ergocalciferol | 2.5 | 8.8 | 2.2 | 1209 | 22 | 72 | 100 | Megadose ergocalciferol | 3 | 9.5 | 2.7 | 1153 | 80 | 126 | | Sodium citrate | 5 (referred to bone clinic) | 9.1 | 2.0 | 2049 | 34 | 35 | 170 | Phosphate, calcitriol, and sodium citrate | 6 | 9 | 4.9 | 886 | 23 | 64 | 41 | Same | 7 | 10.1 | 4.7 | 883 | 20 | 50 | 38 | Same | 8 | 9.1 | 4.7 | 1161 | 19 | 118 | 70 | Same | 9 | 8.9 | 2.4 | 1310 | 20 | 36 | 181 | Patient nonadherent to treatment |
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