Presentation
Usually, it presents with hypocalcemia. Even if there is no established therapeutic treatment, vitamin D or its analogues are required. [ncbi.nlm.nih.gov]
We present two such rare cases, one with PHPT presenting with choreoathetotic movements and the second with SHPT in ESRD presenting with a seizure disorder. [thejhs.org]
Presentation of a rare cause of hypocalcemia in childhood and the necessity of measuring serum electrolyte levels in patients presenting with afebrile seizures. a 7.5-year-old female child presented with afebrile seizures lasting 5 min with postictal [ruralneuropractice.com]
This presentation alone is enough to stratify the patient as a high risk for sudden cardiac death and to consider implantation of an automated internal defibrillator. [innovationsincrm.com]
Our case is the fourth case of impetigo herpetiformis initially presented during puerperium and the first case of puerperal impetigo herpetiformis that is precipitated by secondary hypoparathyroidism. [casesjournal.biomedcentral.com]
Respiratoric
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Stridor
However, acute hypocalcemia usually results in severe symptoms including laryngospasm, stridor, airway obstruction, neuromuscular irritability, cognitive impairment, prolonged QT interval, and cardiac arrhythmias. [ruralneuropractice.com]
Hypoparathyroidism has wide variety of presentations: from the asymptomatic patient with dramatically low serum calcium to the acutely symptomatic patient with neuromuscular irritability, tetany, painful muscle cramps, stridor, and even seizures with [bestpractice.bmj.com]
Stridor. Convulsions (usually grand mal). Syncope. Emotional lability, anxiety and depression, confusion. Memory impairment. Lethargy. Headaches. Brittle nails. Dry hair and skin. Painful menstruation. [patient.info]
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Dyspnea
Symptoms Associated with Hypercalcemia Organ system Most common symptoms and possible diagnoses Cardiovascular Angina, dyspnea, palpitations, syncope Possible diagnoses: diastolic dysfunction, dysrhythmias, hypertension, left ventricular hypertrophy, [aafp.org]
Neurologic
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Cogwheel Rigidity
No cogwheel rigidity. On investigation, her haemoglobin was 13.4 g/L and white blood cell count was 8800 10 9 and platelets 321 10 9. Her renal function, liver function, thyroid function, serum bicarbonate and anionic gap were normal. [thejhs.org]
Workup
Workup Laboratory Studies Parathyroid hormone Primary hypoparathyroidism is defined by a low concentration of PTH with a concomitant low calcium level. [emedicine.medscape.com]
Rhythm
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Torsades De Pointes
Mechanisms in adrenergic dependent onset of torsades de pointes. Pacing Clin Electrophysiol 1997; 20:88–94. Khan A. Clinical and therapeutic aspects of congenital and acquired long QT syndrome. Am J Med 2002; 112:58–66. [innovationsincrm.com]
Treatment
RESULTS: (1) In the treatment group, the levels of serum corrected calcium, phosphorus and calcium-phosphate product began to decline after 1 month and exhibited further decrease 3 months later. [ncbi.nlm.nih.gov]
However, early diagnosis and treatment of hypocalcemia reduces the progression of basal ganglia calcification. [ruralneuropractice.com]
Results: (1) In the treatment group, the levels of serum corrected calcium, phosphorus and calcium-phosphate product began to decline after 1 month and exhibited further decrease 3 months later. [karger.com]
The awareness of the possible occurrence of impetigo herpetiformis during the puerperium allows early diagnosis, treatment and prevention of maternal complications. [casesjournal.biomedcentral.com]
Prognosis
Support Groups: Expectations (prognosis): The outcome for secondary hyperparathyroidism depends on the underlying cause. When treated, rickets generally has a good prognosis. Other causes of secondary hyperparathyroidism have variable outcomes. [uclahealth.org]
Prognosis The regular monitoring required to ensure appropriate calcium levels means that the prognosis is challenging for many people. This may improve if synthetic PTH becomes widely available. [patient.info]
RISULTATI ESTETICI) DELLA CHIRURGIA MININVASIVA CHE VIENE EFFETTUATA SIA NELLA CHIRURGIA TIROIDEA CHE NELLA CHIRURGIA PARATIROIDEA UNA ULTERIORE LINEA DI RICERCA E' LO STUDIO SULLA UTILITA' DEGLI ONCOGENI BRAF E RAS NELLA PIANIFICAZIONE CHIRURGICA E NELLA PROGNOSI [aosp.bo.it]
Prognosis Hypoparathyroidism can be a temporary condition that stops when its cause is treated, or a permanent condition. [healthand.com]
Prognosis Medical therapy is effective in most patients. Some patients may require parathyroidectomy. [boneandspine.com]
Etiology
Hypoparathyroidism is a rare disease in childhood, characterized by inadequate PTH, resulting in hypocalcemia and hyperphosphatemia. [3] Management of hypoparathyroidism is complex, depending on underlying etiology and is individualized, depending on [ruralneuropractice.com]
Thus, idiopathic hypoparathyroidism and resulting hypoparathyroid cataract are relatively rare, where the underlying etiologies and pathogenesis remain to be clarified. [omicsonline.org]
Presentation of hypoparathyroidism: etiologies and clinical features. J Clin Endocrinol Metab. 2016 Jun;101(6):2300-12. [2] Shoback D. Clinical practice. Hypoparathyroidism. [bestpractice.bmj.com]
Etiology Postoperative : ( most common cause of hypoparathyroidism in adults): secondary to thyroidectomy, parathyroidectomy, or radical neck dissection Autoimmune : second most common cause Congenital : Parathyroid aplasia or hypoplasia ( DiGeorge syndrome [amboss.com]
In musculoskeletal disorders where a clear etiology is not to be found, it is worthwhile measuring the serum calcium, phosphate and magnesium levels and if necessary, following it up with a parathyroid hormone assay if initial investigations point that [casereports.in]
Epidemiology
The Epidemiological Study of Dystonia in Europe (ESDE) Collaborative Group. A prevalence study of primary dystonia in eight European countries. J Neurol 2000 ;247 : 787-792 2. Fahn S. Concept and classification of dystonia. [functionalneurology.com]
Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research. J Bone Miner Res. 2011 Oct;26(10):2317-37. [bestpractice.bmj.com]
The Epidemiology of Hypoparathyroidism in Italy: An 8-Year Register-Based Study. Calcif Tissue Int. 2017 Mar. 100 (3):278-285. [Medline]. Bhadada SK, Bhansali A, Upreti V, Subbiah S, Khandelwal N. [emedicine.medscape.com]
"Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research". J. Bone Miner. Res. 26 (10): 2317–37. doi : 10.1002/jbmr.483. PMC 3405491. PMID 21812031. [en.wikipedia.org]
Epidemiology This is a rare disorder. Found equally in males and females. Age of onset depends on the aetiology. Aetiology Hypoparathyroidism may be transient, congenital/genetically inherited or acquired. [patient.info]
Pathophysiology
This highly acclaimed text offers ICU clinicians a new understanding of the pathophysiology of critical illness and new therapeutic approaches to critical care. [books.google.com]
Role of the vestibular system in the pathophysiology of spasmodic torticollis. J Neurol Neurosurg Psychiatry 2001 ; 71:285-288 15. Galardi G, Perani D, Grassi F et al. [functionalneurology.com]
Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research. J Bone Miner Res. 2011 Oct;26(10):2317-37. [bestpractice.bmj.com]
Despite an ever-increasing understanding of the molecular mechanism of parathyroid hormone, its action on skeletal muscle and the pathophysiology of skeletal muscle disorders produced by hyper- and hypoparathyroidism is poorly understood. [medlink.com]
Pathophysiology This is a polypeptide hormone produced in the parathyroid gland. These 4 in number and present close to or on the posterior surface of the thyroid gland. [labpedia.net]
Prevention
Succinct, targeted coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse [books.google.com]
Matuszkiewicz-Rowińska J: KDIGO clinical practice guidelines for the diagnosis, evaluation, prevention, and treatment of mineral and bone disorders in chronic kidney disease. Pol Arch Med Wewn 2010;120:300-306. [karger.com]
The awareness of the possible occurrence of impetigo herpetiformis during the puerperium allows early diagnosis, treatment and prevention of maternal complications. [casesjournal.biomedcentral.com]