Nageen Tabinda, Muhammad Syed Zaki, Jamal Ammarah
Pediatrics, Civil Hospital Karachi, Dow University of Health Sciences, Karachi, PAK.
Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, PAK.
Cureus. 2020 Apr 29;12(4):e7888. doi: 10.7759/cureus.7888.
Seizures, not a typical feature of hypoparathyroidism, may present along with myalgia and tetany in patients of hypoparathyroidism. Thorough history and examination, derangement of biochemical parameters such as hypocalcemia, hyperphosphatemia, and inappropriately low levels of parathyroid hormone, along with basal ganglia calcification as seen on imaging, lead to the diagnosis of hypoparathyroidism in a 10-year-old child who presented to us. Treatment with calcium and active vitamin D significantly improved his condition. In this report, we discuss the presentation and treatment of hypoparathyroidism. Early detection and follow-up at clinically appropriate intervals is important to avoid complications.
癫痫发作并非甲状旁腺功能减退的典型特征,但甲状旁腺功能减退患者可能会出现癫痫发作,并伴有肌痛和手足抽搐。详细的病史和体格检查、低钙血症、高磷血症等生化指标紊乱以及甲状旁腺激素水平异常降低,再加上影像学检查发现的基底节钙化,最终确诊了一名前来就诊的10岁儿童的甲状旁腺功能减退症。补充钙剂和活性维生素D的治疗显著改善了他的病情。在本报告中,我们讨论了甲状旁腺功能减退症的临床表现和治疗方法。早期发现并在临床适当的间隔时间进行随访对于避免并发症很重要。