Seizures in activating calcium‐sensing receptor antibodies positive autoimmune hypoparathyroidism and preponderance of steroids therapy: A case report

Author:

Khan Qaisar Ali1ORCID,Shahi Ameena1,Shahi Alishba2,Baqi Abdul3,Tango Tamara4,Verma Ravina5,Hamid Asrah Abdul6,Saravanan Priyadharshini7,Alam Mazhar1,Shinwari Ismail Khan1,Ul Ain Hoor8

Affiliation:

1. DHQ and Teaching Hospital KDA Kohat Kohat Pakistan

2. Lady Reading Hospital Peshawar Peshawar Pakistan

3. Mercy Saint Vincent Medical Centre Toledo Ohio USA

4. Faculty of Medicine Universitas indonesia Indonesia

5. St. George’s University School of Medicine St. George's Grenada, West Indies

6. Karachi Medical & Dental College Karachi Pakistan

7. Pondicherry institute of Medical Sciences Pondicherry India

8. Jinnah Medical College Peshawar Peshawar Pakistan

Abstract

AbstractA 55‐year‐old female patient presented with generalized tonic–clonic seizures. Laboratory evaluation revealed low calcium (4.9 mg/dl), low PTH (0.9 pg/ml), and positive activating CaSR antibodies. The condition was diagnosed as autoimmune hypoparathyroidism. Calcium and vitamin D supplements did not correct the patient's hypocalcemia. The addition of prednisone to vitamin supplements showed a better response and corrected the hypocalcemia. The patient remained in seizure‐free for one year.

Publisher

Wiley

Subject

General Medicine

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