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
- Cystinosis
- 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
- Anti viral & Anti-retroviral drugs
- Antibacterial Drugs
- Tetracyclines
- Aminoglycosides
- Antibacterial Drugs
- Anticonvulsants
- Valproic acid
- Anticonvulsants
- Heavy metals
- Lead
- cadmium
- Mercury
- Copper
- Chemotherapy
- Alkylating & Platinating Agents
- Cisplatin
- Streptozocin
- Carboplatin
- Ifosfamide
- Oxaplatin
- Alkylating & Platinating Agents
- 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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