Case report: a 10-year-old girl with primary hypoparathyroidism and systemic lupus erythematosus

Author:

Borysewicz-Sańczyk Hanna1ORCID,Sawicka Beata1,Michalak Justyna1,Wójtowicz Jerzy1,Dobreńko Elżbieta2,Konstantynowicz Jerzy2,Kemp E. Helen3,Thakker Rajesh V.4,Allgrove Jeremy5,Hannan Fadil M.46,Bossowski Artur1ORCID

Affiliation:

1. Department of Pediatrics, Endocrinology, Diabetology with a Cardiology Division, Medical University of Bialystok , Białystok , Poland

2. Department of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok , Białystok , Poland

3. Department of Oncology and Metabolism, University of Sheffield , Sheffield , UK

4. Academic Endocrine Unit, Radcliffe Department of Medicine, Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford , Oxford , UK

5. Department of Pediatric Endocrinology, Great Ormond Street Hospital for Children , London , UK

6. Nuffield Department of Women’s & Reproductive Health, University of Oxford , Oxford , UK

Abstract

Abstract Objectives Hypoparathyroidism is a rare disease in children that occurs as a result of autoimmune destruction of the parathyroid glands, a defect in parathyroid gland development or secondary to physical parathyroid gland disturbance. Typical symptoms of hypoparathyroidism present as hypocalcaemia and hyperphosphatemia due to decreased parathyroid hormone secretion and may lead to nerve and muscles disturbances resulting in clinical manifestation of tetany, arrhythmias and epilepsy. Currently, there is no conventional hormone replacement treatment for hypoparathyroidism and therapeutic approaches include normalising mineral levels using an oral calcium supplement and active forms of vitamin D. Case presentation We present the case of a 10-year-old girl with primary hypoparathyroidism who had no prior history of autoimmune disorders, but who subsequently developed systemic lupus erythematosus.

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology, and Child Health

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