Vitamin D-Resistant Rickets Type II-A, Basal Ganglia Calcification, and Catatonia: A Casual or Causal Relationship?

Background Vitamin D-resistant rickets type-IIA (VDRR-IIA) is a rare, congenital, metabolic disorder characterized by hypocalcemia, rickets, and alopecia. There are reports correlating calcium-metabolic disorders with basal ganglia calcification (BGC) and neuropsychiatric symptoms. Objective The aut...

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Published inPsychosomatics (Washington, D.C.) Vol. 50; no. 4; pp. 420 - 424
Main Authors Brunoni, André Russowsky, M.D, Nakata, Ana C.G., M.D, Tung, Teng Chei, M.D., Ph.D, Busatto, Geraldo F., M.D., Ph.D
Format Journal Article
LanguageEnglish
Published Arlington, VA Elsevier Inc 01.07.2009
American Psychiatric Publishing
Elsevier Limited
Subjects
Adult and adolescent clinical studies
Basal Ganglia - pathology
Biological and medical sciences
Calcinosis - etiology
Calcinosis - pathology
Catatonia - etiology
Catatonia - pathology
Familial Hypophosphatemic Rickets - complications
Familial Hypophosphatemic Rickets - pathology
Humans
Internal Medicine
Male
Medical sciences
Metabolic diseases
Miscellaneous
Organic mental disorders. Neuropsychology
Other metabolic disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Young Adult
Human
Diseases of the osteoarticular system
Central nervous system
Metabolic diseases
Male
Catatonia
Basal ganglion
Encephalon
Micronutrient
Case study
Vitamin D
Vitamin resistant rickets
Young adult
Calcification
Evolution
Severity score
Causality
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Summary:Background Vitamin D-resistant rickets type-IIA (VDRR-IIA) is a rare, congenital, metabolic disorder characterized by hypocalcemia, rickets, and alopecia. There are reports correlating calcium-metabolic disorders with basal ganglia calcification (BGC) and neuropsychiatric symptoms. Objective The authors document and discuss the relationships of these phenomena. Method The authors describe a patient born with VDRR-IIA who subsequently developed BGC at age 15, and catatonic symptoms of progressive severity at age 16. Results There appeared to be a positive correlation between the severity of BGC and neuropsychiatric symptoms. Discussion This is the first time VDRR-IIA, BGC, and catatonia have been reported in a patient, and the authors discuss the relationship among the conditions.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0033-3182
1545-7206
DOI:10.1176/appi.psy.50.4.420