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Treatment of Hypoparathyroidism with Parathyroid Hormone 1–34

  • Karen K. WinerEmail author
  • Gordon B. CutlerJr.
Chapter

Abstract

The clinical presentation of hypoparathyroidism includes inappropriately low or undetectable serum parathyroid hormone (PTH), hypocalcemia, hyperphosphatemia, and frequently, hypomagnesemia. Chronic symptoms include neuromuscular irritability causing tetany, muscle cramping, spasms, and seizures. In adults, the disorder is usually a complication of neck surgery due to an excision of a goiter or thyroid cancer. In children, the condition is most often due to inherited disorders such as autoimmune polyglandular failure syndrome type 1 (APS-1) or an activating mutation in the calcium-sensing receptor (CaSR). Children with hypoparathyroidism pose a particular therapeutic dilemma because recurrent episodes of hypocalcemia, if associated with seizures, may adversely affect brain development.

Keywords

Parathyroid hormone Hypoparathyroidism Calcium receptor CaSR APS-1 PTH 1-34 Hypocalcemia 

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Copyright information

© Springer-Verlag Italia 2015

Authors and Affiliations

  1. 1.National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development/PGNBBethesdaUSA
  2. 2.Gordon Cutler Consultancy, LLCDeltavilleUSA

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