Osteoporosis, bone & mineral

Clinical Spectrum of Primary Hypomagnesemia with Secondary Hypocalcemia due to TRPM6 Mutation

Horm Res PaediatrPublished Retrospective case series

Authors' conclusion

HOMG1 due to TRPM6 mutation is a rare condition. We are reporting 11 cases of TRPM6 mutation due to 9 different variants (7 novel). Persistent severe secondary hypocalcemia is a prominent clinical feature of TRPM6 mutation, which can be life-threatening if not treated promptly.

Study context

Population
Genetically confirmed primary hypomagnesemia due to homozygous TRPM6 mutation, Department of Pediatric Endocrinology and Diabetes, The Children's Hospital, Lahore, over 2 years10 families
Participants
11 participants
Outcome
Clinical spectrum of hypomagnesemia with secondary hypocalcemia due to TRPM6 mutation
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Clinical spectrum
Male
7
Novel variants
7
Cases with history of sibling death due to hypocalcemia seizures (5 families)
6
First symptoms irritability and excessive crying, mean age
20 days
Intractable seizures, mean age
2.07 months
Presented under 6 months of age
8
Presented between 6 and 12 months
2
Presented at 3 years of age
1

Observational data: associations, not effects.

Further findings

Outcome on daily oral Mg · currently

All cases maintaining bone profile on oral Mg and seizure free

Original publication

Clinical Spectrum of Primary Hypomagnesemia with Secondary Hypocalcemia due to TRPM6 Mutation. Horm Res Paediatr. Published 25 August 2025. doi:10.1159/000547303

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