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Idiopathic hypoparathyroidism with extensive intracranial calcification in children: First report from Saudi Arabia.

Abstract Pediatric idiopathic hypoparathyroidism with extensive intracranial calcifications outside the basal ganglia (BG) is extremely rare with less than 10 cases worldwide.
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Journal Title medicine
Publication Year Start




PMID- 28422826
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170419
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 16
DP  - 2017 Apr
TI  - Idiopathic hypoparathyroidism with extensive intracranial calcification in
      children: First report from Saudi Arabia.
PG  - e6347
LID - 10.1097/MD.0000000000006347 [doi]
AB  - RATIONALE: Pediatric idiopathic hypoparathyroidism with extensive intracranial
      calcifications outside the basal ganglia (BG) is extremely rare with less than 10
      cases worldwide. PATIENT CONCERNS: An 11-year-old Saudi male child presented with
      tetany with otherwise normal neurological and other body system examination
      diagnoses severe hypocalcemia for differential diagnosis. INTERVENTIONS: Further 
      investigations revealed hyperphosphatemia and undetectable serum intact
      parathyroid hormone. Brain computed tomography revealed BG and extensive brain
      calcifications. He has no dysmorphic features, vitiligo, mucocuataneous
      manifestations, or hair loss. He had normal hemoglobin, electroencephalogram, and
      skeletal survey, with negative autoantibodies to alpha and omega interferons and 
      negative genetic testing for Glial Cell Missing 2 (GCM2) and calcium-sensing
      receptors (CaSRs) excluding known causes of hypoparathyroidism. OUTCOMES: This
      case presents a rare entity of idiopathic hypoparathyroidism with extensive
      intracranial calcification, not only in BG but also outside the extrapyramidal
      system with normal mentality, development, pubertal achievement, and neurological
      examination. To our knowledge, this is the first report from Saudi Arabia in
      pediatrics. LESSONS: Idiopathic hypoparathyroidism is a diagnosis of exclusion
      after ruling out all known causes of hypoparathyroidism. It is associated with BG
      calcifications, but extensive intracranial calcifications outside the BG are
      extremely rare.
FAU - Kamal, Naglaa M
AU  - Kamal NM
AD  - aPediatric Hepatologist, Faculty of Medicine, Cairo University, Cairo, Egypt.
      Pediatric Hepatologist, Alhada Armed Forces Hospital, Taif, KSA bPediatric
      endocrinologist, Armed Forces Hospitals of Taif Region, Taif, KSA cPediatric
      neonatologist, Alhada Armed Forces Hospital, Taif, KSA dPediatric
      endocrinologist, Alhada Armed Forces Hospital, Taif, KSA ePediatrics, Children
      Hospital, Taif, KSA fPediatric Allergist and immunologist Alhada Armed Forces
      Hospital, Taif, KSA gPediatric Nephrologist, College of Medicine, Taif
      University, Taif, KSA hMedical intern, Taif University, Taif, KSA iPediatric
      Hematologist and Oncologist, Faculty of Medicine, Zagazig University, Zagazig,
      Egypt.
FAU - Alghamdi, Hamed A
AU  - Alghamdi HA
FAU - Halabi, Abdulrahman A
AU  - Halabi AA
FAU - Bakkar, Ayman A
AU  - Bakkar AA
FAU - Algarni, Ali
AU  - Algarni A
FAU - Alharbi, Abdullah
AU  - Alharbi A
FAU - Alharthi, Abdulla A
AU  - Alharthi AA
FAU - Alharbi, Rawan A
AU  - Alharbi RA
FAU - Sherief, Laila M
AU  - Sherief LM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
AID - 10.1097/MD.0000000000006347 [doi]
AID - 00005792-201704210-00007 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(16):e6347. doi: 10.1097/MD.0000000000006347.

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