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Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy
Published on: July 14, 2023
[A cause of intracerebral calcifications that should be known: pseudohypoparathyroidism Ib]
P Faissolle1, K Wagner-Mahler, J-C Mas
1Service de pédiatrie, hôpital l'Archet II, route Saint-Antoine-de-Ginestière, 06200 Nice, France. pfaissolle@free.fr
Insights
Pseudohypoparathyroidism (PHP) in children causes basal ganglia calcifications and hypocalcemia. Early diagnosis is crucial when calcifications are found on CT scans.
Area of Science:
- Pediatric Endocrinology
- Neurology
- Radiology
Background:
- Pseudohypoparathyroidism (PHP) is a rare genetic disorder characterized by resistance to parathormone (PTH).
- It commonly presents with hypocalcemia, which can be symptomatic, and is a known cause of basal ganglia calcifications in children.
Observation:
- A 13-year-old boy presented with hypocalcemia and seizures, indicative of PHP.
- Cerebral CT scan revealed calcifications in the basal ganglia.
Findings:
- The case highlights type Ib PHP as a cause of basal ganglia calcifications and seizures in a pediatric patient.
- This underscores the importance of considering PHP in the differential diagnosis of basal ganglia calcifications.
Implications:
- Emphasizes the need for prompt investigation of basal ganglia calcifications on CT scans to identify potential cases of PHP.
- Early diagnosis and management of PHP can prevent severe complications associated with hypocalcemia and neurological manifestations.
Abstract:
In children, pseudohypoparathyroidism (PHP) is a rare but classical cause of basal ganglia calcifications. It is caused by resistance to parathormone (PTH). Hypocalcemia, which may be symptomatic, is its main feature. We report the case of a 13-year-old boy, affected by type Ib PHP revealed by hypocalcemia and seizures, with basal ganglia calcifications on the CT scan. We describe the characteristics of the 2 main types of PHP and emphasize the search for this disease when basal ganglia calcifications are discovered, even fortuitously, on a cerebral CT scan.
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