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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 9, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    It's not MS. Also, the patient has a short stature.

    I'll post the correct answer in a few days!

    DDx.JPG
     

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    J.P.C. Peper, Aug 9, 2012
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  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    If anyone has an idea, there’s still time.

    I’ll post the correct answer in another three days.
     

    J.P.C. Peper, Aug 12, 2012
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  3. bb100

    bb100 Bronze Member

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    Calcified foci on the brain may be fahr's disease
     

    bb100, Aug 12, 2012
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  4. dofus kamas

    dofus kamas Famous Member

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    I don't known.
     

    dofus kamas, Aug 13, 2012
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  5. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    This type of cerebral calcification (periventricular (left), the basal ganglia (right)), combined with the history, point to pseudohypoparathyroidism.

    In this condition, the target cells do not respond to PTH, which besides of the cerebral calcification can also cause short metacarpals (mainly the 4th and 5th) and a short stature. Blood tests will reveal low calcium and high PTH.

    There’s also pseudopseudohypoparathyroidism, which gives the same morphological features, but with normal biochemistry.
     

    J.P.C. Peper, Aug 15, 2012
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