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2.1
Autoimmune Hypoparathyroidism

Presentation

Abstract Organ-specific autoimmune endocrine disorders may present as single diseases or may occur together in polyendocrine syndromes. We present a report of 23-year-old female with Graves' disease and concurrent hypocalcemia. [ncbi.nlm.nih.gov]

Another unique feature of the presented case was the finding of hyperechogenicities in brain parenchyma on transcranial sonography (TCS). [omicsonline.org]

This report intends to highlight the clinical heterogeneity and varied presentation of APS-2. [ijem.in]

Entire Body System

  • Intermittent Fever

    fever, night sweats and cough for the last 2 months. [academic.oup.com]

Respiratoric

  • Sputum

    Direct examination of the sputum was positive for alcohol-resistant bacilli and cultures grew Mycobacterium tuberculosis sensitive to all drugs. A full course of anti-tuberculous treatment was started for 6 months. [academic.oup.com]

Skin

  • Hair Hypoplasia

    Abstract McKusick type metaphyseal chondrodysplasia, or cartilage hair hypoplasia (CHH), is a rare autosomal recessive osteochondrodysplasia secondary to a mutation in the RMRP gene. [ncbi.nlm.nih.gov]

    20605844 ) Bachmeyer C....Haymann J.P. 2011 3 Anti-parathyroid and anti-calcium sensing receptor antibodies in autoimmune hypoparathyroidism. ( 19328421 ) Brown E.M. 2009 4 Autoimmune hypoparathyroidism in a 12-year-old girl with McKusick cartilage hair [malacards.org]

Treatment

Make the best clinical decisions with an enhanced emphasis on evidence-based practice and expert opinions on treatment strategies. Zero in on the most relevant and useful references with the aid of a more focused, concise bibliography. [books.google.de]

Extensive cancer radiation treatment of your face or neck. Radiation can result in destruction of your parathyroid glands, as can radioactive iodine treatment for hyperthyroidism, occasionally. [checkorphan.org]

Other novel parathyroid autoantigens are starting to be elucidated, suggesting that new approaches to treatment, such as CaSR antagonists or agonists (calcilytics/calcimimetics), may be worthwhile. [ncbi.nlm.nih.gov]

Prognosis

What is the prognosis for a person with Polyglandular Autoimmune Syndrome Type 1? The prognosis for a person with PAS-1 varies depending on the number and severity of his or her symptoms. [counsyl.com]

Hypoparathyroidism prognosis If hypoparathyroidism is adequately treated with calcium and vitamin D, the outlook (prognosis) is good. However, this relies on you taking medication daily for life. [patient.info]

Prognosis - Hypoparathyroidism Hypoparathyroidism may result in numerous complications if not treated. The following complications are due to low calcium levels, most of which are likely to improve with adequate treatment: Tetany. [checkorphan.org]

Etiology

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

One logical way to classify the different etiologies of hypocalcemia is to break them down into LOW PTH STATES and HIGH PTH STATES. Today I'll review the HYPOCALCEMIA WITH LOW PH STATES, or in other words, the causes of hypoparathyroidism. [renalfellow.blogspot.com]

Since we were not able to measure CaSR antibodies we relied on other clinical and laboratory findings that supported our hypothesis of autoimmune etiology. [omicsonline.org]

Presentation of hypoparathyroidism: etiologies and clinical features. J Clin Endocrinol Metab. 2016 Jun;101:2300-12. Bollerslev J, Rejnmark L, Marcocci C, Shoback DM, Sitges-Serra A, Van Biesen W, Dekkers OM. [rarediseases.org]

Prevalence Affects 24 to 37/100,000 persons per year ( 1 ) Autosomal dominant hypocalcemia with hypercalciuria (ADHH): 1/70,000 typically in infancy with hypocalcemic seizures Etiology and Pathophysiology PTH aids in regulating calcium homeostasis: Mobilizes [unboundmedicine.com]

Epidemiology

It opens by addressing in detail the anatomy and physiology of the parathyroids and describing the epidemiology and clinical presentation of hypoparathyroidism. [books.google.de]

Epidemiology and diagnosis of hypoparathyroidism. J Clin Endocrinol Metab. 2016 Jun;101:2284-99. Ferre EM, Rose SR, Rosenzweig SD, et al. [rarediseases.org]

[Polyglandular autoimmune syndrome type II: epidemiology and forms of manifestation]. Dtsch Med Wochenschr. 1999;124(49):1476-81. [PMID:10629665] Comment: Reviews epidemiology of PAS II. Eisenbarth G, Wilson P, Ward F, et al. [hopkinsguides.com]

Epidemiology and diagnosis of hypoparathyroidism. J Clin Endocrinol Metab. 2016;101(6):2284-2299. PMID: 26943720 www.ncbi.nlm.nih.gov/pubmed/26943720. Darr EA, Sritharan N, Pellitteri PK, Sofferman RA, Randolph GW. [medlineplus.gov]

Epidemiology More common in women; affects all ages Incidence Most common after surgical procedure of the anterior neck (75% of all cases). [unboundmedicine.com]

Pathophysiology

This edition has been thoroughly revised by world-renowned contributors to reflect recent developments in renal pathophysiology. [books.google.de]

Masia, R; Peyton, S; Lauwers, GY Polyglandular autoimmune syndromes Maurer, A; Schwarting, A; Kahaly, GJ Autoimmune polyglandular syndromes Michels, AW; Gottlieb, PA IgG4 antibodies in autoimmune polyglandular disease and IgG4-related endocrinopathies: pathophysiology [deepdyve.com]

Here we discuss the pathophysiology and diagnostic aspects of this treatable disease. [omicsonline.org]

Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target organ involvement, treatment and challenges for future research. J Bone Min Res. 2011; 26: 2317-37. Khan MI, Waguespack SG, Hu MI. [rarediseases.org]

Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research. J Bone Miner Res. 2011;26(10):2317–37. DOI : 10.1002/jbmr.483. [ncbi.nlm.nih.gov]

Prevention

[…] to prevent hypoparathyroidism. [mayoclinic.org]

If your calcium level becomes drastically low, you may need to have intravenous (IV) calcium to quickly get it into your bloodstream to prevent serious complications. [verywell.com]

Prevention - Hypoparathyroidism There are no specific actions you can take to prevent hypoparathyroidism. [checkorphan.org]

The inherited forms tend to arise from abnormal genes that may: encode abnormal forms of PTH or its receptor prevent normal conduction of cell signals from the PTH receptor to the nucleus prevent normal gland development before birth. [endocrineweb.com]

Early detection of the disease and its component symptoms is important for preventing life-threatening scenarios. With careful monitoring, it is possible to have a normal or near-normal lifespan. [counsyl.com]

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