Alternative titles and symbols : HOPS; PHOSPHOETHANOLAMINURIA;
Included titles and symbols : Hypophosphatasia, perinatal lethal; HPPN;
Description : Hypophosphatasia is an inborn error of metabolism characterized clinically by defective
bone mineralization and biochemically by deficient activity of the tissue-nonspecific
isoenzyme of alkaline phosphatase. Fraser (1957) classified forms of hypophosphatasia
according to age of onset: perinatal, infantile, childhood (241510), and adult (146300).
Whyte (1988) indicated a fifth form of hypophosphatasia with primarily only dental
manifestations, referred to as odontohypophosphatasia (see 146300). All of these forms
are allelic.;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the alkaline phosphatase gene (ALPL, 171760.0001);
Laboratory abnormalities : Hypercalcemia; Hypercalciuria; Phosphoethanolaminuria; Elevated plasma and urine inorganic pyrophosphate (PPi); Decreased tissue and serum alkaline phosphatase; Elevated serum phosphate in heterozygotes; Low serum alkaline phosphatase in heterozygotes; Mildly elevated phosphoethanolamine urinary excretion in heterozygotes;