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Pseudohypoparathyroidism type 1B - a rare cause of tetany: case report.

dc.contributor.authorGarcia, C
dc.contributor.authorCorreia, CR
dc.contributor.authorLopes, L
dc.date.accessioned2019-04-24T15:23:35Z
dc.date.available2019-04-24T15:23:35Z
dc.date.issued2018
dc.description.abstractPseudohypoparathyroidism (PHP) is a rare group of disorders characterised by end-organ resistance to the parathyroid hormone (PTH). A 16-year-old boy presented with a 2-year history of involuntary dystonic movements involving mainly the left hand, initially after writing and later during physical exercise. Serum calcium was 1.37 mmol/L (2.20-2.69), phosphate 2.1 mmol/L (0.8-1.45) and PTH 302 ng/L (12-88). CT scan of the head demonstrated multiple subcortical and diffuse basal ganglia calcifications. Genetic analysis confirmed a methylation defect in the GNAS cluster on chromosome 20q13.32 which established the diagnosis. Treatment with calcitriol and calcium carbonate led to complete remission of symptoms. Causes of hypocalcaemia should be considered in evaluating patients with movement disorders. The diagnosis of PHP-1B is challenging but the overall prognosis is excellent.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPaediatr Int Child Health. 2018 Nov;38(4):281-284pt_PT
dc.identifier.doi10.1080/20469047.2017.1341730pt_PT
dc.identifier.issn2046-9055
dc.identifier.urihttp://hdl.handle.net/10400.10/2218
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.subjectPseudohypoparathyroidismpt_PT
dc.subjectTetanypt_PT
dc.titlePseudohypoparathyroidism type 1B - a rare cause of tetany: case report.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceAbingdonpt_PT
oaire.citation.titlePaediatrics and International Child Healthpt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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