Pseudohypoparathyroidism physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
*Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | *Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | ||
**Subcutaneous ossifications | **[[Subcutaneous]] [[Ossification|ossifications]] | ||
**Obesity | **[[Obesity]] | ||
===HEENT=== | ===HEENT=== | ||
*Acrodysostosis: | *[[Acrodysostosis]]: | ||
**Small, flat, upturned nose | **Small, flat, upturned [[nose]] | ||
*Blomstrand's chondrodystrophy: | *Blomstrand's chondrodystrophy: | ||
** Protruding eyes showing cataracts | ** Protruding [[eyes]] showing [[cataracts]] | ||
** | ** [[Macroglossia]] | ||
** [[Micrognathia]] | |||
** Micrognathia | ** [[Depressed nasal bridge]] | ||
** Depressed nasal bridge | |||
*Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | *Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | ||
**Round face | **[[Round face]] | ||
**Frontal bossing | **[[Frontal]] bossing | ||
** | **[[Dental]] [[hypoplasia]] | ||
===Lungs=== | ===Lungs=== | ||
*Blomstrand's chondrodystrophy: | *Blomstrand's chondrodystrophy: | ||
**Narrow thorax | **Narrow [[thorax]] | ||
===Genitourinary=== | ===Genitourinary=== | ||
*Acrodysostosis: | *Acrodysostosis: | ||
**Hypoplastic genitalia | **[[Hypoplastic]] [[genitalia]] | ||
**[[Cryptorchidism]] | **[[Cryptorchidism]] | ||
===Extremities=== | ===Extremities=== | ||
*Acrodysostosis: | *[[Acrodysostosis]]: | ||
**Short hands | **Short [[hands]] | ||
*Blomstrand's chondrodystrophy: | *Blomstrand's chondrodystrophy: | ||
**Short limbs | **[[Short limbs]] | ||
**Dwarfism | **[[Dwarfism]] | ||
**advanced bone maturation in the fetus resulting in neonatal death | **advanced [[bone maturation]] in the [[fetus]] resulting in [[neonatal]] death | ||
*Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | *Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | ||
**Shortening of third, fourth, and fifth [[metacarpals]] and [[metatarsals]] | **Shortening of third, fourth, and fifth [[metacarpals]] and [[metatarsals]] | ||
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===Neuromuscular=== | ===Neuromuscular=== | ||
*Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | *Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism: | ||
**Mild to moderate intellectual disability | **Mild to moderate [[intellectual disability]] | ||
==References== | ==References== | ||
Revision as of 16:06, 17 October 2017
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Pseudohypoparathyroidism Microchapters |
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Differentiating Pseudohypoparathyroidism from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Pseudohypoparathyroidism physical examination On the Web |
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American Roentgen Ray Society Images of Pseudohypoparathyroidism physical examination |
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Risk calculators and risk factors for Pseudohypoparathyroidism physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mazia Fatima, MBBS [2]
Overview
Patients with pseudohypoparathyroidism type1a , type 1c and pseudopseudohypoparathyroidism presents by the second decade of life with characteristic physical features of Albright's hereditary osteodystrophy.Pseudohypoparathyroidism Type 1B isolated resistance to parathyroid hormone without the associated clinical features of Albright's osteodystrophy. Mild brachydactyly is seen in some cases.Blomstrand's chondrodystrophy presents with short limbs due to characteristic growth impairment.Secondary hyperplasia of the parathyroid glands occurs as a result of associated hypocalcemia.
Physical Examination
Appearance of the Patient
- Patients with pseudohypoparathyroidism type1a , type 1c and pseudopseudohypoparathyroidism presents by the second decade of life with characteristic physical features of Albright's hereditary osteodystrophy.
- Pseudohypoparathyroidism Type 1B is not associated with clinical features of Albright's osteodystrophy. Mild brachydactyly is seen in some cases.
Skin
- Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism:
HEENT
- Acrodysostosis:
- Small, flat, upturned nose
- Blomstrand's chondrodystrophy:
- Protruding eyes showing cataracts
- Macroglossia
- Micrognathia
- Depressed nasal bridge
- Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism:
- Round face
- Frontal bossing
- Dental hypoplasia
Lungs
- Blomstrand's chondrodystrophy:
- Narrow thorax
Genitourinary
- Acrodysostosis:
Extremities
- Acrodysostosis:
- Short hands
- Blomstrand's chondrodystrophy:
- Short limbs
- Dwarfism
- advanced bone maturation in the fetus resulting in neonatal death
- Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism:
- Shortening of third, fourth, and fifth metacarpals and metatarsals
- Pseudohypoparathyroidism Type 1B
- Mild brachydactyly
Neuromuscular
- Pseudohypoparathyroidism type1a , type 1c and Pseudopseudohypoparathyroidism:
- Mild to moderate intellectual disability