Hypoparathyroidism

Resumen

  • May present with symptomatic hypocalcaemia, perioral and digital paraesthesias, positive Chvostek's and Trousseau's signs. If the condition does not cause clinically significant hypocalcaemia, hypoparathyroidism may be entirely asymptomatic.
  • Majority of cases are iatrogenic, following surgery; other causes include congenital, infiltrating disease, PTH suppression, PTH resistance, HIV/AIDS.
  • Initial laboratory tests typically reveal low calcium and low or inappropriately normal immunoreactive PTH, and may reveal low magnesium and low vitamin D.
  • Urgent calcium, magnesium, and vitamin D replacement is indicated if symptoms are present.
Actualizado por última vez: abr 03, 2013

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