- Pseudohypoparathyroidism
Infobox_Disease
Name = PAGENAME
Caption =
DiseasesDB = 10835
DiseasesDB_mult = DiseasesDB2|10851
ICD10 = ICD10|E|20|1|e|20
ICD9 = ICD9|275.49
ICDO =
OMIM =
MedlinePlus = 000364
eMedicineSubj = med
eMedicineTopic = 1940
MeshID = D011547Pseudohypoparathyroidism is a condition caused by resistance to the
parathyroid hormone . Patients have a low serumcalcium and highphosphate , but the parathyroid hormone level (PTH) is appropriately high. Its pathogenesis has been linked to dysfunctionalG Proteins .Types
* Type 1a pseudohypoparathyroidism has a characteristic phenotypic appearance (
Albright's hereditary osteodystrophy ), including short fourth and fifthmetacarpals and a roundedfacies . It is most likely an autosomal dominant disorder. [OMIM|103580]
* Type 1b pseudohypoparathyroidism lacks the physical appearance of type 1a, but is biochemically similar. [OMIM|603233]
* Type 2 pseudohypoparathyroidism also lacks the physical appearance of type 1a. [OMIM|203330] While biochemically similar, type 1 and 2 disease may be distinguished by the differing urinary excretion ofcyclic AMP in response to exogenous PTH.Related conditions
The term
pseudopseudohypoparathyroidism is used to describe a condition where the individual has thephenotypic appearance of pseudohypoparathyroidism type 1a, but is biochemically normal.Presentation
This disorder is clinically manifest by blunting of fourth and fifth
metacarpal s. The commonmnemonic "knuckle knuckle dimple dimple" refers to the blunting of the fourth and fifth metacarpal bones.ymptoms
*
hypocalcemia
*hyperphosphatemia
* elevatedparathyroid hormone (hyperparathyroidism )References
ee also
*
Hypoparathyroidism
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