Fanconi syndrome causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Fanconi syndrome could be the result or complication of various causes affecting the normal function of Proximal convoluted tubule (PCT) ; in a simple and useful classification method, the causes could be classified as:

  • Genetic causes
    • Accumulation of a toxic substance (e.g. Cystinosis, Tyrozinemia, Lysinuric Protein Intolerance, Glycogen Storage Diseases, Galactosemia, wilson, fructose intolerance)
    • Energy provision failure (e.g. Mitochondriopathies)
    • Disruption of endocytosis and intra-cellular transport mechanisms (e.g. ARC syndrome, Lowe syndrome and Dent disease).
  • Exogenous causes (e.g. Heavy metals exposure, Drugs, Chemotherapy)
  • Acquired causes (e.g. Multiple myeloma, Amyloidosis, Paroxysmal nocturnal hemoglobinuria)

Causes

Genetic Causes

  • Accumulation of a toxic substance
    • Cystinosis
      • The most common inherited cause of Fanconi syndrome in children
    • Tyrozinemia
    • Lysinuric Protein Intolerance
    • Glycogen Storage Disease type I
    • Galactosemia
    • Wilson
    • Fructose intolerance
    • Fanconi-Bickel syndrome
  • Energy provision failure
    • Mitochondriopathies
  • Disruption of endocytosis and intra-cellular transport
    • Lowe syndrome
    • NaPi-IIa gene mutation
    • EHHADH gene mutations
    • Dent disease

Exogenous causes

  • Drugs
    • Anti viral & Anti-retroviral drugs
      • Adefovir
      • Tenofovir
      • Didanosine
      • Cidofovir
      • Lamivudine
      • Stavudine
    • Antibacterial Drugs
      • Tetracyclines
      • Aminoglycosides
    • Anticonvulsants
      • Valproic acid
  • Heavy metals
    • Lead
    • cadmium
    • Mercury
    • Copper
  • Chemotherapy
    • Alkylating & Platinating Agents
      • Cisplatin
      • Streptozocin
      • Carboplatin
      • Ifosfamide
      • Oxaplatin
    • Mercaptopurine

Acquired causes

  • Nephrotic syndrome
  • Multiple myeloma
  • Amyloidosis
  • Paroxysmal nocturnal hemoglobinuria(PNH)
  • Sjögren syndrome
  • Renal transplantation
  • Acute tubulointerstitial nephritis with uveitis (TINU) syndrome
  • Autoimmune interstitial nephritis and membranous nephropathy
  • Anorexia nervosa
  • Untreated condition of distal renal tubular acidosis

Less Common Causes

Less common causes of Fanconi syndrome mostly found on case reports include:

  • Other drugs such as: Fumaric Acid, Ranitidine, Salicylate, Methyl-3-Chromone in high doses and for long periods
  • Chronic Alcohol abuse
  • Crude Chinese herbal drugs (sometimes called Boui-ougi-tou)
  • L-Lysine
  • Glue Sniffing
  • Autosomal dominant Fanconi syndrome with macrosomia and young onset diabetes mellitus
  • Arthrogryposis–renal dysfunction–cholestasis (ARC) syndrome
  • Idiopathic Fanconi syndrome

Causes in Alphabetical Order

List the causes of the disease in alphabetical order.

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References

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