ISSN: 1308-5727 | E-ISSN: 1308-5735
Volume : 4 Issue : 1 Year : 2024
Forms

Abstracting & Indexing
Turkish Society for Pediatric Endocrinology and Diabetes
Pseudohypoparathyroidism Presenting with Ventricular Arrhythmia: A Case Report [J Clin Res Pediatr Endocrinol]
J Clin Res Pediatr Endocrinol. 2012; 4(1): 42-44 | DOI: 10.4274/Jcrpe.476

Pseudohypoparathyroidism Presenting with Ventricular Arrhythmia: A Case Report

Sedat Işıkay1, İlyas Akdemir2, Kutluhan Yılmaz1
1Gaziantep University Faculty Of Medicine, Department Of Pediatrics, Gaziantep, Turkey
2Sema Hospital, Cardiologist, Istanbul, Turkey

Pseudohypoparathyroidism (PHP) is a rare disorder characterized by varying degrees of unresponsiveness to parathyroid hormone. Patients usually present with hypocalcemia-induced seizures or tetany, whereas no case of hypocalcemia-induced cardiac arrhythmia in PHP has been described to date. In this paper, we report the case of a male adolescent with PHP type 1a who presented with hypocalcemia-induced ventricular extrasystoles (bigeminy, trigeminy) and mild corrected QT interval prolongation. The patient had brachydactyly and his second fingers and toes were longer than the others, a finding consistent with PHP. Laboratory tests detected hypomagnesemia, as well as elevated levels of creatine kinase and lactate dehydrogenase. Ventricular arrhythmia and abnormal laboratory tests improved with calcium supplementation and vitamin D treatment. The findings in this patient suggest that hypomagnesemia may make patients with PHP more susceptible to hypocalcemia and may thus prompt a state of hypocalcemia-induced arrhythmia or other cardiac complications.

Keywords: Pseudohypoparathyroidism,arrhythmia,child

Sedat Işıkay, İlyas Akdemir, Kutluhan Yılmaz. Pseudohypoparathyroidism Presenting with Ventricular Arrhythmia: A Case Report. J Clin Res Pediatr Endocrinol. 2012; 4(1): 42-44
Manuscript Language: English
LookUs & Online Makale