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Table 3 HPP-related disease history

From: Diagnostic delay is common among patients with hypophosphatasia: initial findings from a longitudinal, prospective, global registry

 

n/N (%)

Categorya: Symptom/sign

Children (n = 121)

Adults (n = 148)

Rheumatic

25/119 (21.0)

115/137 (83.8)

 Calcific periarthritis

0

9 (6.6)

 Chondrocalcinosis

0

6 (4.4)

 Fibromyalgia

2 (1.7)

13 (9.5)

 Painb

23 (19.3)

102 (74.5)

 Pseudogout

2 (1.7)

8 (5.8)

Skeletal

53/120 (44.2)

66/137 (48.2)

 Bone deformity

39 (32.5)

18 (13.1)

 Pseudofractures

1 (0.8)

9 (6.6)

 Recurrent and poorly healing fractures

5 (4.2)

50 (36.5)

 Rickets-like changes (by radiograph)

22 (18.3)

8 (5.8)

Orthopedic procedures and therapies

26/120 (21.7)

62/139 (44.6)

Muscular

23/119 (19.3)

51/137 (37.2)

 Abnormal gait

17/91c (18.7)

28/137 (20.4)

 Weakness

15/119 (12.6)

42/137 (30.7)

Premature loss of deciduous teeth

53/110d (48.2)

34/137 (24.8)

Renal/metabolic

28/119 (23.5)

22/137 (16.1)

 Hypercalcemia

15 (12.6)

6 (4.4)

 Hyperphosphatemia

7 (5.9)

6 (4.4)

 Kidney stones

2 (1.7)

7 (5.1)

 Nephrocalcinosis

11 (9.2)

5 (3.6)

Neurologic

32/120 (26.7)

16/137 (11.7)

 Craniosynostosis

12 (10.0)

4 (2.9)

 Developmental delay

16 (13.3)

3 (2.2)

 Increased intracranial pressure

2 (1.7)

1 (0.7)

 Seizures

11 (9.2)

12 (8.8)

Failure to thrive

32/120 (26.7)

7/137 (5.1)

Respiratory support

22/118 (18.6)

6/138 (4.3)

 Invasive ventilation

18 (15.3)

0

 CPAP/BiPAP

7 (5.9)

5 (3.6)

 Supplemental oxygen

11 (9.3)

2 (1.4)

  1. CPAP continuous positive airway pressure, BiPAP bilevel positive airway pressure, HPP hypophosphatasia
  2. aPatients may have had > 1 sign/symptom within each category
  3. bCombines generalized body pain, chronic bone pain, and chronic muscle pain
  4. cExcludes patients aged < 2 years at enrollment
  5. dExcludes patients aged < 6 months at enrollment