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同一家庭中不同亚型的假性甲状旁腺功能减退症,索引病例有不寻常的精神症状表现。

Different subtypes of pseudohypoparathyroidism in the same family with an unusual psychiatric presentation of the index case.

作者信息

Pollard A J, Prendergast M, al-Hammouri F, Rayner P H, Shaw N J

机构信息

Department of Child and Adolescent Psychiatry, Children's Hospital, Birmingham.

出版信息

Arch Dis Child. 1994 Feb;70(2):99-102. doi: 10.1136/adc.70.2.99.

Abstract

A 13 year old Asian girl presenting with apparent hysterical paralysis and subsequent rapid cycling bipolar mood disorder was found to have biochemical evidence of pseudohypoparathyroidism type II. The mood disorder responded to treatment of the pseudohypoparathyroidism with a vitamin D analogue. Investigation of her parents and siblings showed phenotypes consistent with two distinct types of pseudohypoparathyroidism (type I and type II) in different family members.

摘要

一名13岁的亚洲女孩,最初表现为明显的癔症性麻痹,随后出现快速循环型双相情感障碍,经检查发现有II型假性甲状旁腺功能减退的生化证据。使用维生素D类似物治疗假性甲状旁腺功能减退后,该情感障碍得到缓解。对其父母和兄弟姐妹的调查显示,不同家庭成员的表型符合两种不同类型的假性甲状旁腺功能减退(I型和II型)。

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