Open AccessShort fourth and fifth metacarpals in a case of idiopathic primary hypoparathyroidism
Author(s) -
Neda Valizadeh,
Alireza Mehdizadeh,
Surezarbaghi
Publication year - 2013
Publication title -
indian journal of endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.456
H-Index - 28
eISSN - 2230-9500
pISSN - 2230-8210
DOI - 10.4103/2230-8210.117221
Subject(s) - osteodystrophy , medicine , pseudohypoparathyroidism , hypoparathyroidism , hypocalcaemia , primary care , pediatrics , parathyroid hormone , calcium , family medicine
Shortening of metacarpals is a useful diagnostic marker in patients with pseudohypoparathyroidism type Ia (PHP-Ia) with Albright's hereditary osteodystrophy (AHO) phenotype or pseudopseudohypoparathyroidism (PPHP). There are very rare reports of metacarpals shortening in idiopathic primary hypoparathyroidism (IPH) cases in the literature. Here we described a young woman with IPH who presented with hypocalcaemia and generalized tonic-clonic seizure. She had shortening of forth and fifth metacarpals which was prominent in her right hand. Based on our finding and other previous case reports we conclude that metarpals shortening is not a specific finding of PHP-Ia or PPHP and it may be found in IPH cases.