Pseudohypoparathyroidism: A case of hypocalcemia and hypothyroidism diagnosed during the postpartum period
- Author:
Lim Kim Piow
;
Yong Sy Liang
- Publication Type:Case Reports
- Keywords:
pseudohypoparathyroidism;
hypocalcemia;
Albright’s hereditary osteodystrophy
- From:Malaysian Family Physician
2019;14(1):31-34
- CountryMalaysia
- Language:English
-
Abstract:
We describe a 29-year-old Para 1 post-Emergency Lower Segment Caesarean Section (EMLSCS)
for fetal distress and Preterm Rupture of the Membrane (PROM) referred by the Obstetric team for
persistent bradycardia. She had the typical features of Albright’s Hereditary Osteodystrophy (AHO).
The laboratory investigation revealed hypocalcemia, hyperphosphatemia with a high Parathyroid
hormone (PTH) level and low free Thyroxine 4 (fT4) with high Thyroid Stimulating Hormone
(TSH). The patient was diagnosed with Pseudohypoparathyroidism (PHP) Type 1A associated
with TSH resistance based on the somatic features of AHO present as well as biochemical and
radiological abnormalities.
- Full text:2.2018my0028.pdf
