Longstanding hypoparathyroidism in a fifty-two-year-old woman misdiagnosed as spondyloarthropathy

Iranian Red Crescent Medical Journal
Mozhdeh ZabihiyeganehHounaz Akbari

Abstract

Hypoparathyroidism might cause various musculoskeletal findings, resembling Spondyloarthropathies. We described a 52-year-old woman, diagnosed as a case of undifferentiated spondyloarthropathy for ten years, who was unresponsive to classic anti-inflammatory therapies. She developed anterior ischemic optic neuropathy and had elevated muscle enzymes during the course of disease. On a routine checkup, marked hypocalcemia and suppressed parathyroid hormone levels were found. Calcium and calcitriol therapy led to clinical and laboratory improvement. This case emphasizes the importance of recognizing rheumatic manifestations of hypoparathyroidism to preclude unnecessary treatments. Serum calcium should be included in the diagnostic workup of these patients.

References

Aug 1, 1984·Metabolism: Clinical and Experimental·T OkazakiE Ogata
Feb 1, 2005·Joint, Bone, Spine : Revue Du Rhumatisme·Cengiz KorkmazAyşegül Binboğa
Apr 6, 2006·Clinical Endocrinology·Bashir Ahmad LawayAshu Seith
Apr 15, 2006·Hormones : International Journal of Endocrinology and Metabolism·Vassiliki SyriouDimitrios Pikazis
Sep 7, 2007·Clinical Endocrinology·Ravinder GoswamiVishnubhatla Sreenivas
Oct 27, 2009·Rheumatology International·Yousra Ibn YacoubNajia Hajjaj-Hassouni
Dec 17, 2009·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Selman UnverdiSacit Turanl
Aug 31, 2011·Clinics·Thayana Ribeiro KajitaniRosa M R Pereira
Jul 13, 2012·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Ritu AroraJ L Goyal
Jan 1, 2011·Radiology Case Reports·Ravi Kanth JakkaniJohn Mathew

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