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Clinical spectrum of hypophosphatasia diagnosed in adults

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TLDR
It is suggested that adult HPP demonstrates a wide spectrum of clinical manifestations including musculoskeletal pain, fractures, chondrocalcinosis and dental anomalies with some overlap in laboratory characteristics in relationship to disease severity.
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This article is published in Bone.The article was published on 2013-05-01. It has received 133 citations till now. The article focuses on the topics: Hypophosphatasia.

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Rare Bone Diseases and Their Dental, Oral, and Craniofacial Manifestations

TL;DR: This review focuses on dental, oral, and craniofacial manifestations of rare bone diseases and aims to improve the identification of genetic, molecular, and/or biologic causes, diagnoses, and treatment of these and other rare bone conditions that may share underlying mechanisms of disease.
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Hypophosphatasia: an overview of the disease and its treatment

TL;DR: This review presents the current knowledge on hypophosphatasia, a rare genetic disease of very variable severity (from lethal to mild) and clinical presentation, caused by defective production of tissue-non-specific alkaline phosphatase (TNSALP).
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Five-year efficacy and safety of asfotase alfa therapy for adults and adolescents with hypophosphatasia.

TL;DR: It is suggested that in adults and adolescents with pediatric-onset HPP, treatment with asfotase alfa is associated with normalization of circulating TNSALP substrate levels and improved functional abilities.
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Clinical and Radiographic Findings in Adults With Persistent Hypophosphatasemia

TL;DR: Clinicians should take notice of persistent hypoph phosphatasemia, consider the diagnosis of hypophosphatasia, and be cautious when considering potent anti‐remodeling therapy in these adults, who have more crystalline arthritis, orthopedic surgery, chondrocalcinosis, calcific periarthritis, enthesopathy, and diffuse idiopathic skeletal hyperostosis than a general adult patient population.
References
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Bone histomorphometry: Standardization of nomenclature, symbols, and units: Report of the asbmr histomorphometry nomenclature committee

TL;DR: A committee of the Society to develop a unified system of termnology, suitable for adoption by the Journal of Bone and Mineral Research as part of its Instructions to Authors is formed, and is as complex and conceptually difficult as the field with which it deals.
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History of the Rochester Epidemiology Project

TL;DR: The Rochester Epidemiology Project is a unique medical records-linkage system that encompasses the care delivered to residents of Rochester and Olmsted County, Minnesota and is able to provide accurate incidence data for almost any serious condition and to support population-based analytic studies of disease causes and outcomes.
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