What causes Pseudopseudohypoparathyroidism?

PHPP is caused by genetic changes in the GNAS gene and is inherited in an autosomal dominant fashion. This condition is usually inherited from the father (genomic imprinting). PPHP is genetically related to pseudohypoparathyroidism type Ia (PHP-1a).
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What is the difference between Pseudopseudohypoparathyroidism and Pseudohypoparathyroidism?

Pseudopseudohypoparathyroidism and pseudohypoparathyroidism both involve the same GNAS gene, but Pseudopseudohypoparathyroidism has normal calcium homeostasis because of the normal maternal allele in the kidney.
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What are the signs and symptoms of hypoparathyroidism?

The symptoms of hypoparathyroidism can include:
  • a tingling sensation (paraesthesia) in your fingertips, toes and lips.
  • twitching facial muscles.
  • muscle pains or cramps, particularly in your legs, feet or tummy.
  • tiredness.
  • mood changes, such as feeling irritable, anxious or depressed.
  • dry, rough skin.
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How common is Pseudohypoparathyroidism?

Pseudohypoparathyroidism is a very rare disorder, with estimated prevalence between 0.3 and 1.1 cases per 100000 population depending on geographic location.
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What happens in Pseudohypoparathyroidism?

Summary. Pseudohypoparathyroidism (PTH) is a genetic disorder in which the body is unable to respond to parathyroid hormone. Parathyroid hormone helps control calcium, phosphorous, and vitamin D levels in the bones and blood. The symptoms of PTH are caused by low calcium levels and high phosphate levels in the blood.
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Dr.Deepak Marwah Discusses Pseudo and Pseudo Pseudo Hypoparathyroidism



Is Pseudohypoparathyroidism same as secondary hyperparathyroidism?

Some of the biochemical features of secondary hyperparathyroidism (e.g., hypocalcemia, elevated serum PTH) can also be seen in pseudohypoparathyroidism, a syndrome of resistance to the biochemical actions of PTH.
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What other hormone deficiencies are likely in patients with Pseudohypoparathyroidism?

Pseudohypoparathyroidism is a rare disorder where patients are resistant to parathyroid hormone. Parathyroid hormone resistance leads to hypocalcemia and hyperphosphatemia.
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Is Pseudohypoparathyroidism genetic?

Pseudohypoparathyroidism is a hereditary disorder inherited either through X- linked dominant genes or through autosomal dominant genes. Human traits including the classic genetic diseases, are the product of the interaction of two genes, one received from the father and one from the mother.
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How do you test for Pseudohypoparathyroidism?

Laboratory studies for the diagnosis of pseudohypoparathyroidism (PHP) include serum calcium tests (including measurement of serum total calcium and ionized calcium) to confirm a hypocalcemic state. Serum phosphate levels are elevated in PHP.
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Why is calcium low in Pseudohypoparathyroidism?

If you have PHP, your body produces the right amount of PTH, but is "resistant" to its effect. This causes low blood calcium levels and high blood phosphate levels. PHP is caused by abnormal genes.
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How do you get hypoparathyroidism?

Hypoparathyroidism happens when 1 or more of your parathyroid glands are not active enough. They don't make enough parathyroid hormone. This lowers the level of calcium in your blood. The most common cause is injury to or removal of all 4 parathyroid glands.
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What autoimmune disease causes hypoparathyroidism?

Autoimmune hypoparathyroidism may be isolated or associated with autoimmune polyglandular syndrome type I, which is also associated with chronic mucocutaneous candidiasis, pernicious anemia and other autoimmune conditions.
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What serious consequences of hypoparathyroidism occur and why?

Calcium deposits in the brain, which can cause balance problems, movement disorders and seizures. Clouded vision due to cataracts. Teeth that don't form properly, affecting dental enamel and roots, which can happen when hypoparathyroidism occurs at an early age when teeth are developing.
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What does hyperparathyroidism cause?

In primary hyperparathyroidism, one or more of the parathyroid glands is overactive. As a result, the gland makes too much parathyroid hormone (PTH). Too much PTH causes calcium levels in your blood to rise too high, which can lead to health problems such as bone thinning and kidney stones.
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How do I say Pseudopseudohypoparathyroidism?

Pronunciation
  1. (Received Pronunciation) IPA: /ˌsjuː.dəʊˌsjuː.dəʊˌhaɪ.pəʊ.pæɹ.əˈθaɪ.ɹɔɪd.ɪzəm/
  2. (US) IPA: /ˌsuː.doʊˌsuː.doʊˌhaɪ.poʊ.pæɹ.əˈθaɪ.ɹɔɪd.ɪzəm/
  3. Audio (UK) 0:03. (file)
  4. Hyphenation: pseu‧do‧pseu‧do‧hy‧po‧par‧a‧thy‧roid‧ism.
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Is Pseudopseudohypoparathyroidism in the dictionary?

Pseudopseudohypoparathyroidism definition

(medicine) A mild inherited condition in which the sufferer has symptoms similar to those of pseudohypoparathyroidism.
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What is Pseudohypoparathyroidism type 1B?

Pseudohypoparathyroidism type 1B (PHP1B) is a disorder characterized by lack of response (resistance) to parathyroid hormone (PTH) and other hormones such as thyroid-stimulating hormone (TSH).
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What is hungry bone syndrome?

Hungry bone syndrome (HBS) refers to the rapid, profound, and prolonged hypocalcaemia associated with hypophosphataemia and hypomagnesaemia, and is exacerbated by suppressed parathyroid hormone (PTH) levels, which follows parathyroidectomy in patients with severe primary hyperparathyroidism (PHPT) and preoperative high ...
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Why do we get hypocalcemia?

Chronic hypocalcemia is commonly due to inadequate levels of parathyroid hormone or vitamin D, or due to resistance to these hormones. Treatment focuses on oral calcium and vitamin D supplements, as well as magnesium if deficiency is present.
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What does parathyroid hormone do?

Parathyroid glands produce parathyroid hormone, which plays a key role in the regulation of calcium levels in the blood. Precise calcium levels are important in the human body, since small changes can cause muscle and nerve problems.
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Why do I have knuckle dimples?

AHO has been genetically linked to GNAS1 gene. Brachydactyly most commonly involves the fourth and fifth metacarpals, but can also be seen in other metacarpals and metatarsals. Affected knuckles dimple when the fist is clenched causing the 'Knuckle–dimple' sign (Figures 2 and 3).
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What does primary hyperthyroidism mean?

Primary hyperparathyroidism is a condition in which one or more of the parathyroid glands makes too much PTH. This can lead to the loss of bone tissue. This condition is more common in women than in men. A job of PTH is to keep blood calcium levels from going too low. It does this by releasing calcium from bones.
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What is urinary cAMP?

The level of urinary cAMP is the result of cAMP released by PTH, action of other hormones and plasma cAMP filtered by the renal glomerulus. “Nephrogenous cAMP” is the urinary excretion of cAMP minus that filtered by the glomerulus and correlates best with the results of plasma PTH levels.
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Who discovered Pseudohypoparathyroidism?

In 1942, Fuller Albright and colleagues9 introduced the term pseudohypoparathyroidism (PHP) to describe PTH resistance in 3 patients with biochemical hypoparathyroidism (ie, hypocalcemia and hyperphosphatemia) and a constellation of unusual features that included short stature, obesity, round faces, brachydactyly, and ...
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What is Hypocalcemic Tetany?

Hypocalcemic tetany (HT) is the consequence of severely lowered calcium levels (<2.0 mmol/l), usually in patients with chronic hypocalcemia. The causal disease for hypocalcemic tetany is frequently a lack of parathyroid hormone (PTH), (e. g. as a complication of thyroid surgery) or, rarely, resistance to PTH.
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