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Hypoparathyroidism

Signs & Symptoms

 Tetany #Acute
Note: due to Acute hypocalcemia
Ref: Uptodate [ Hypoparathyroidism]
Dry skin
Ref: Uptodate [ Hypoparathyroidism]
Transverse nail grooves
Ref: Uptodate [ Hypoparathyroidism]
Puffy skin
Ref: Uptodate [ Hypoparathyroidism]

Physical Examination

 Trousseau sign #Acute
Note: due to Acute hypocalcemia
Ref: Uptodate [ Hypoparathyroidism]
Brittle nails
Ref: Uptodate [ Hypoparathyroidism]
Chvostek sign #Acute
Note: due to Acute hypocalcemia
Ref: Uptodate [ Hypoparathyroidism]

Lab / Serology

 Elevated serum phosphorus level
Ref: Uptodate [ Hypoparathyroidism] Cecil [ 745]
Hypocalcemia
Ref: Uptodate [ Hypoparathyroidism] Harrison [ 2937] Cecil [ 744]
Low parathyroid hormone
Ref: Uptodate [ Hypoparathyroidism] Harrison [ 2937] Cecil [ 744]

Imagin Study

 Basal ganglia calcification
Ref: Uptodate [ Hypoparathyroidism]
Prolonged QT interval
Ref: Uptodate [ Hypoparathyroidism]

Complication

 Hemiballismus
Note: due to Basal ganglia calcification
Ref: Uptodate [ Hypoparathyroidism]
Parkinsonism
Note: due to Basal ganglia calcification
Ref: Uptodate [ Hypoparathyroidism]
Dystonia
Note: due to Basal ganglia calcification
Ref: Uptodate [ Hypoparathyroidism]

Risk Factors

Cause

 Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome
Ref: Uptodate [ Hypoparathyroidism]
Thyroidectomy
Ref: Uptodate [ Hypoparathyroidism]
Radical neck surgery
Ref: Uptodate [ Hypoparathyroidism]

Other