<症例>偽性副甲状腺機能低下症の1例

概要

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Pseudohypoparathyroidism is a clinical syndrome, described for the first time by Albright and his colleagues in 1942. The disorder is characterized with typical physical findings and end-organ unresponsiveness to parathormone (PTH). Of late we had a case of pseudohypoparathyroidism which had been diagnosed wrongly "epilepsy" and administered some anticonvulsants for about three years. The patient was treated with calcium lactate and 1α-OH-VD_3,and improved on the aspects of serum Ca value and clinical symptoms. The case showed : (1) Papilledema which was undoubtedly found did not prove the increased intracranial pressure. (2) Intracranial calcification which was barely demonstrated by plain skull X-ray films was evidently found by CT scan. (3) The EEG abnormalities were improved gradually in parallel with normalization of serum Ca value and the absence of the symptoms. (4) Mental retardation (IQ 40) was observed in the patient with long-stand and untreated disease.
近畿大学の論文
1979-06-25