Pseudohypoparathyroidism Type II in a Woman with a History of Thyroid Surgery
| Autor: | Yuki Matsuda, Takuo Nambu, Seiji Muro, Shogo Oki, Koji Matsuo, Shin Yonemitsu, Yuki Morimoto, Takaaki Murakami |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Graves' disease Levothyroxine Diagnosis Differential Internal Medicine medicine Humans natural sciences Pseudohypoparathyroidism Aged business.industry Thyroid Thyroidectomy General Medicine medicine.disease Graves Disease Surgery Pseudohypoparathyroidism type II medicine.anatomical_structure Parathyroid Hormone Female medicine.symptom Differential diagnosis business Muscle cramp medicine.drug |
| Zdroj: | Internal Medicine. 53:743-747 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.53.1617 |
| Popis: | We herein describe the case of a woman with pseudohypoparathyroidism (PHP) type II. She had a history of subtotal thyroidectomy against Graves' disease without levothyroxine supplementation and presented with stiffness, numbness and muscle cramps. Her surgical history suggested the possibility of secondary hypoparathyroidism; however, the serum intact parathyroid hormone level and results of a Ellsworth-Howard test led to the diagnosis of PHP type II. In the present case, making the differential diagnosis was challenging because two distinct disorders, such as PHP and secondary hypoparathyroidism, may exist simultaneously. This case demonstrates the need to consider the possibility of PHP type II in patients exhibiting hypocalcemia. |
| Databáze: | OpenAIRE |
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