Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Apr 30, 2012.
What's your diagnosis?
By the way, I'll post the correct answer in two days ;-)
short on 4th and 5th metacarpals due to Pseudohypoparathyrodism..
Pseudohypoparathyroidism. Short metacarpals (esp. the 4th and 5th) are characteristic. Other signs include a round face, short stature and an IQ below average.
By the way, apparently pseudopseudohypoparathyroidism also exists; then the signs are identical, but biochemistry is normal (in pseudohypoparathyroidism: low calcium, high PTH and elevated or normal alk. phos.).
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