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1.
Rev. méd. Chile ; 132(12): 1527-1531, dez. 2004. tab
Artigo em Espanhol | LILACS | ID: lil-394453

RESUMO

Pseudohypoparathyroidism is characterized by a resistance to parathormone, with variable phenotypical and biochemical manifestations. Its diagnosis is difficult. We report a 28 years old male presenting with a hypokalemic periodic paralysis. His serum PTH was elevated to 1,343 and 1,101 pg/ml with concomitant hypocalcemia of 7.9 and 6.7 mg/dl. Twenty four hour urinary calcium and serum 25 hydroxy vitamin D were normal. Bone mineral density was normal. The patient was managed with calcitriol in doses of 1 to 2 µg/d, associated to calcium 2 g/day. Serum calcium levels and PTH normalized after two months and six months of treatment respectively.


Assuntos
Adulto , Humanos , Masculino , Pseudo-Hipoparatireoidismo/diagnóstico , Deficiência de Vitamina D/diagnóstico , Monofosfato de Adenosina/urina , Cálcio/sangue , Diagnóstico Diferencial , Hipocalcemia/metabolismo , Paralisia Periódica Hipopotassêmica/metabolismo , Hormônio Paratireóideo/sangue , Pseudo-Hipoparatireoidismo/classificação , Pseudo-Hipoparatireoidismo/metabolismo , Deficiência de Vitamina D/metabolismo
2.
Rev Med Chil ; 132(12): 1527-31, 2004 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-15743166

RESUMO

Pseudohypoparathyroidism is characterized by a resistance to parathormone, with variable phenotypical and biochemical manifestations. Its diagnosis is difficult. We report a 28 year old male presenting with a hypokalemic periodic paralysis. His serum PTH was elevated to 1,343 and 1,101 pg/ml with concomitant hypocalcemia of 7.9 and 6.7 mg/dl. Twenty four hour urinary calcium and serum 25 hydroxy vitamin D were normal. Bone mineral density was normal. The patient was managed with calcitriol in doses of 1 to 2 microg/d, associated to calcium 2 g/day. Serum calcium levels and PTH normalized after two months and six months of treatment respectively.


Assuntos
Pseudo-Hipoparatireoidismo/diagnóstico , Deficiência de Vitamina D/diagnóstico , Monofosfato de Adenosina/urina , Adulto , Cálcio/sangue , Diagnóstico Diferencial , Humanos , Hipocalcemia/metabolismo , Paralisia Periódica Hipopotassêmica/metabolismo , Masculino , Hormônio Paratireóideo/sangue , Pseudo-Hipoparatireoidismo/classificação , Pseudo-Hipoparatireoidismo/metabolismo , Deficiência de Vitamina D/metabolismo
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