Case Report

Case Presentation: Functional Assessment of a CASR Variant Identified in a Patient with Hypercalcaemia Confirms Familial Hypocalciuric Hypercalcaemia in the Patient and a Sister Previously Misdiagnosed with Primary Hyperparathyroidism

Table 2

Bioinformatics data for the novel Leu34Pro CASR variant.

VariantSIFT scorePolyPhen-2 HVAR scoreCADD Phred scoreMetaLR scoreMutation assessor rank scoreFATHMM converted rank scoreGERP++ RS rank scoreSiPhy 29way logOdds rank score

NM_000388.4: c.101T>C: p.(Leu34Pro)Deleterious (0.001)Probably damaging (0.997)Likely benign (27.6)Deleterious (0.822)High (0.936)Deleterious (0.878)0.7820.709

Note that as the test variant is novel, the population frequency is not able to be determined. CADD score cutoff for “likely deleterious” is >30 (13).