Pseudo-hipoparatireoidismo (PHP) é um grupo heterogêneo de distúrbios endócrinos caracterizados por função renal normal e resistência à ação do hormônio da paratireóide (PTH), manifestando-se com hipocalcemia, hiperfosfatemia e níveis elevados de PTH e que inclui os subtipos PHP tipo 1a (PHP-1a), PHP tipo 1b (PHP-1b), PHP tipo 1c (PHP-1c), PHP tipo 2 (PHP-2) e pseudopseudo-hipoparatireoidismo (PPHP).
Introdução
O que você precisa saber de cara
Pseudo-hipoparatireoidismo (PHP) é um grupo heterogêneo de distúrbios endócrinos caracterizados por função renal normal e resistência à ação do hormônio da paratireóide (PTH), manifestando-se com hipocalcemia, hiperfosfatemia e níveis elevados de PTH e que inclui os subtipos PHP tipo 1a (PHP-1a), PHP tipo 1b (PHP-1b), PHP tipo 1c (PHP-1c), PHP tipo 2 (PHP-2) e pseudopseudo-hipoparatireoidismo (PPHP).
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 37 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 87 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
3 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Not applicable.
May inhibit the adenylyl cyclase-stimulating activity of guanine nucleotide-binding protein G(s) subunit alpha which is produced from the same locus in a different open reading frame
Cell membraneCell projection, ruffle
SNARE involved in vesicular transport from the late endosomes to the trans-Golgi network
Golgi apparatus membraneCytoplasm
Pseudohypoparathyroidism 1B
A disorder characterized by end-organ resistance to parathyroid hormone, hypocalcemia and hyperphosphatemia. Patients affected with PHP1B lack developmental defects characteristic of Albright hereditary osteodystrophy, and typically show no other endocrine abnormalities besides resistance to PTH.
Medicamentos aprovados (FDA)
1 medicamento encontrado nos registros da FDA americana.
Variantes genéticas (ClinVar)
547 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 398 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
14 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Pseudohipoparatireoidismo
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Ensaios em destaque
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Outros ensaios clínicos
23 ensaios clínicos encontrados, 9 ativos.
Publicações mais relevantes
A maternal exon H splice-site variant leading to pseudohypoparathyroidism type 1B with broad methylation defects in GNAS-differentially methylated regions.
The GNAS locus produces multiple transcripts, including the maternally derived, GNAS-H, and GNAS-NESP55 and the paternally derived GNAS-XL, GNAS-A/B, and GNAS-AS, all of which are expressed in specific tissues. GNAS-Gsα is biparentally expressed in most tissues and imprinted in several tissues, specifically, the proximal tubules, thyroid, gonads, and pituitary. These imprinted transcripts are regulated by five differentially methylated regions (GNAS-DMRs), and hypomethylation in the GNAS-A/B:TSS-DMR causes resistance to hormones, including parathyroid hormone, leading to pseudohypoparathyroidism type 1B (PHP1B). Sporadic PHP1B shows broad methylation defects in the GNAS-DMRs, whereas most familial PHP1B cases show localized methylation defects at the GNAS-A/B:TSS-DMR and GNAS-AS2:TSS-DMR. We identified an inherited maternal exon H variant that causes a GNAS methylation pattern typically observed in sporadic PHP1B. To determine the underlying genetic cause in this family, we conducted long-read sequencing (LRS). LRS revealed a maternal exon H variant together with methylation defects of CpGs in the GNAS-DMRs. To evaluate the association of the variant with this familial PHP1B, we established patient-derived induced pluripotent stem cells (iPSCs). Reverse-transcription PCR (RT-PCR) and quantitative RT-PCR in patient-derived iPSCs showed no expression of GNAS-NESP55 or GNAS-H and increased expression of GNAS-AS, together with hypermethylation of the GNAS-NESP:TSS-DMR and hypomethylation of the GNAS-AS1:TSS-DMR and GNAS-XL:Ex1-DMR. RNA sequencing revealed no abnormal GNAS transcripts in iPSCs established from patients. To determine whether loss of GNAS-H expression itself causes PHP1B, or whether methylation defects of the GNAS-DMRs, followed by loss of GNAS-H expression, result in PHP1B in this family, we conducted RT-PCR after demethylation treatment in patient-derived iPSCs. We detected biallelic expressed GNAS-NESP55 transcript and only paternally expressed GNAS-H transcript. These findings indicated impaired maternal GNAS-H transcription in the patients, regardless of the methylation levels in the GNAS-DMRs. Furthermore, amplicon LRS spanning the region from exon H to GNAS-AS exon 1 in 40 sporadic PHP1B patients showed that genomic variants in this region are infrequent. Loss of maternal GNAS-H transcript precedes the onset of abnormal methylation imprinting at the GNAS-DMRs and contributes to its establishment. We also revealed that LRS is useful for diagnosing and researching imprinting disorders.
Adult-onset pseudohypoparathyroidism type 1B diagnosed by methylation analysis: A case report and diagnostic considerations.
Pseudohypoparathyroidism type 1B (PHP1B) is a rare endocrine disorder caused by epigenetic defects at the GNAS locus, leading to isolated renal resistance to parathyroid hormone (PTH). Although typically identified in childhood, adult-onset cases are uncommon and easily overlooked. This case highlights the diagnostic challenge of late-onset PHP1B and the critical role of methylation-specific testing. A 33-year-old man was referred for evaluation of incidentally detected hypocalcemia (serum calcium 5.9 mg/dL) during a routine health examination. He complained of mild paresthesia of the hands and eyelid twitching but had no family history of endocrine disorders and exhibited no phenotypic features of Albright hereditary osteodystrophy. Laboratory evaluation revealed persistent hypocalcemia (serum calcium 7.7 mg/dL) and markedly elevated PTH levels (284.2 pg/mL) despite correction of magnesium and vitamin D insufficiency. Standard sequencing of the GNAS and STX16 genes showed no pathogenic variants. However, methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) identified gain of methylation in the NESP55 region and loss of methylation in the AS, XL, and A/B differentially methylated regions confirming a diagnosis of sporadic PHP1B. The patient received oral calcium carbonate and cholecalciferol supplementation. Magnesium deficiency was corrected with oral magnesium oxide. The patient remained asymptomatic during follow-up with adequate calcium supplementation. Adult-onset PHP1B should be considered in the differential diagnosis of unexplained hypocalcemia with elevated PTH, even in the absence of Albright hereditary osteodystrophy. Because conventional sequencing cannot detect imprinting defects, epigenetic testing such as MS-MLPA is essential for definitive diagnosis. Increased awareness of atypical, late-onset presentations can aid in timely diagnosis and appropriate management.
Automated bone age assessment in rare pediatric growth disorders: a comparative study using Deeplasia.
Bone age (BA) assessment is essential for monitoring growth and maturation and guiding therapeutic interventions. While deep learning (DL) models offer high-speed automated BA prediction, their generalizability to rare pathological and diagnostically complex populations remains a significant concern. This study aims to validate the open-source DL system Deeplasia on external data from pediatric patients with various syndromic, endocrine, and lysosomal storage disorders (LSDs) and to compare its accuracy and consistency against multiple expert human raters. We retrospectively assembled 1,138 hand radiographs from multiple centers, including patients with SHOX deficiency; Noonan syndrome; Silver-Russell syndrome; Ullrich-Turner syndrome; pseudohypoparathyroidism; congenital adrenal hyperplasia (CAH); precocious puberty and precocious pseudopuberty (cohort 1); mucopolysaccharidosis types I, II, III, IV, and VI; alpha-mannosidosis; and unclassified LSDs (cohort 2). For each radiograph, BA was evaluated using the Greulich and Pyle method by two to five human experts to obtain a mean BA reference. Model performance was assessed using the mean absolute error (MAE), root mean squared error (RMSE), and 1-year accuracy for each cohort and underlying conditions, sex, and age groups. Furthermore, Deeplasia's performance was compared with that of individual raters by testing each rater and the model against the remaining experts. Deeplasia achieved a mean MAE of 5.95 months, an RMSE of 8.01 months, and a 1-year accuracy of 89.9% for cohort 1 (endocrine and syndromic conditions). For cohort 2 (lysosomal storage disorders), Deeplasia achieved a mean MAE of 7.13 months, an RMSE of 9.56 months, and a 1-year accuracy of 81.2%. In direct comparisons between Deeplasia and individual raters tested against the remaining experts, Deeplasia outperformed all human raters. Deeplasia was validated as a highly consistent, robust, and reliable tool for BA assessment in complex cases. It demonstrated superior accuracy compared with individual human raters and may assist clinicians in BA evaluation.
Cerebral Calcification and Treatment-Resistant Seizures: A Rare Syndromic Presentation of Pseudohypoparathyroidism-A Case Report.
Pseudohypoparathyroidism (PHP) has a varied presentation, ranging from biochemically detected hypocalcemia in asymptomatic individuals to treatment-refractory seizures. Features may develop over time. Hypocalcemia with recurrent seizures in adolescents indicates a cause other than a primary central nervous system cause, rather than hypoparathyroidism and pseudohypoparathyroidism being the endocrinological causes. We present a case of an adolescent girl with difficult-to-treat seizures and dystonic body movement whose diagnostic workup confirmed PHP. Phenotypically, she fit in Albright hereditary osteodystrophy. However, her hypothyroidism status and obesity are more in favor of PHP type 1a. After treatment with calcium and calcitriol, her symptoms and biochemical parameters improved. PHP is a rare disorder involving hormone resistance that disrupts calcium homeostasis, presenting with hypocalcemia, hyperphosphatemia, and high parathyroid hormone despite normal vitamin D3. Adolescents may solely present with seizures, which poses a diagnostic challenge. The basal ganglia calcification causing extrapyramidal symptoms should prompt evaluation for hypocalcemia and possible endocrine causes. PHP may be associated with Albright Hereditary Osteodystrophy, featuring short stature, obesity, brachydactyly, and low intelligence. PHP requires prompt diagnosis and treatment with calcium and calcitriol, which can fully reverse symptoms. This case emphasizes the importance of detecting PHP as a potential cause of treatment-refractory seizures in patients with hypocalcemia, underscoring timely management to prevent hypocalcemic complications and seizures.
Three-generation familial transmission of a GNAS variant: from gestational phenotype in the mother to evolving prenatal/neonatal phenotype in the offspring.
Disorders caused by GNAS gene variants, including pseudohypoparathyroidism (PHP) types 1a, 1b and 1c, and pseudo-pseudohypoparathyroidism (PPHP), present with complex imprinting and phenotypic variability. The gene's parent-of-origin expression pattern results in diverse clinical manifestations. We report a three-generation family harboring a heterozygous missense variant in GNAS (c.305 C > T, p.Ala102Val), classified as "likely pathogenic". The proband, a 29-year-old primigravida, and her mother displayed phenotypic features of Albright hereditary osteodystrophy (AHO) including short stature, brachydactyly, round face, and obesity. The proband was diagnosed with primary hypothyroidism at age 25. During pregnancy, her hormonal profile resembled PPHP rather than PHP 1a, with normocalcemia and elevated parathyroid hormone (PTH), potentially masked by pregnancy physiology. Her mother's phenotype was consistent with PPHP and exhibited elevated PTH due to vitamin D deficiency. The proband delivered a male neonate with normal birth parameters, but was later found to carry the familial GNAS variant. The neonate developed features of AHO, elevated PTH, and transient hypothyroidism, consistent with PHP 1a. Hormonal and calcium homeostasis remained stable with supplementation. This is, to the best of our knowledge, the first reported case of a three-generation family with a GNAS variant demonstrating an evolving phenotype during pregnancy and early life. Pregnancy-related physiological changes may counteract typical hormone resistance, complicating diagnosis. Our findings emphasize the importance of genetic counseling and longitudinal follow-up in GNAS-related disorders, particularly during reproductive planning and early infancy.
Publicações recentes
Pseudohypoparathyroidism in a Chinese girl: A case report.
Clinical picture of early infancy PTH resistance syndromes: is it time to improve diagnostic criteria?
[Clinical and genetic characteristics of pseudohypoparathyroidism type 1].
From hypercalcemia to the diagnosis of pseudohypoparathyroidism type 1b: a case report.
A maternal exon H splice-site variant leading to pseudohypoparathyroidism type 1B with broad methylation defects in GNAS-differentially methylated regions.
📚 EuropePMC1.199 artigos no totalmostrando 200
A maternal exon H splice-site variant leading to pseudohypoparathyroidism type 1B with broad methylation defects in GNAS-differentially methylated regions.
Clinical epigeneticsAdult-onset pseudohypoparathyroidism type 1B diagnosed by methylation analysis: A case report and diagnostic considerations.
MedicineAutomated bone age assessment in rare pediatric growth disorders: a comparative study using Deeplasia.
Frontiers in endocrinologyCerebral Calcification and Treatment-Resistant Seizures: A Rare Syndromic Presentation of Pseudohypoparathyroidism-A Case Report.
AACE endocrinology and diabetesThe association of GNAS defects with pro-inflammatory adipokine levels in pseudohypoparathyroidism type 1.
Journal of endocrinological investigationA Rare Familial Case of Pseudohypoparathyroidism Type 1b in Two Brothers Presenting With Recurrent Leg Cramps and Learning Difficulties.
CureusBasal Ganglia Calcification With Treatment-Resistant Hypocalcaemia and Persistent Psychosis in an 18-Year-Old: A Case Report.
CureusPseudohypoparathyroidism Presenting With Recurrent Twitching: Challenges Making a Diagnosis in a Low-Resource Environment.
Case reports in endocrinologyThree-generation familial transmission of a GNAS variant: from gestational phenotype in the mother to evolving prenatal/neonatal phenotype in the offspring.
Hormones (Athens, Greece)Hypocalcemia Revisited: Thinking Outside the Box!
CureusLate-Onset Pseudohypoparathyroidism: A Case Report.
CureusNovel Variants and Clinical Heterogeneity in Pediatric Calcium Metabolism Disorders Identified Through High-Yield Tiered Genetic Testing in a Taiwanese Cohort.
Medicina (Kaunas, Lithuania)Multidimensional Characterisation of Eating Behaviour in Genetic Obesity: A Systematic Review.
Obesity factsSignificance of GNAS mutations for morbid obesity in children.
Human genomicsImprinting and skeletal disorders: lessons from pseudohypoparathyroidism and related disorders.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchSix cases of ectopic cutaneous ossification associated with GNAS gene variants.
European journal of dermatology : EJDHuman diseases caused by homozygous PTH1R mutations.
Frontiers in endocrinologyPseudohypoparathyroidism type 1B mimicking gitelman syndrome: diagnostic pitfalls and molecular insights.
Frontiers in geneticsDefective GNAS imprinting due to splice site variants in pseudohypoparathyroidism type 1B.
JCI insightPseudohypoparathyroidism with normocalcemia: a rare case report from Nepal.
Annals of medicine and surgery (2012)Natural History of Hyperphagia in Patients with Pseudohypoparathyroidism.
Journal of clinical medicineClinical evaluation and molecular analysis of genetic and epigenetic inactivation defects in GNAS in children: A multicenter experience in China.
European journal of endocrinologyMulti-locus methylation analyses reveal GNAS methylation defects in three patients with the Beckwith-Wiedemann syndrome phenotype and no molecular defects in the 11p15.5 imprinted region.
Clinical epigeneticsA Splice-Region Variant Causes an Atypical Presentation of GNAS Inactivation Disorder.
American journal of medical genetics. Part AAnalysis of the prevalence and incidence of pseudohypoparathyroidism in Poland based on National Health Fund data with clinical presentation of own cases.
Frontiers in endocrinologyLoss-of-function Gαs rare disease variants exert mutation-specific effects on GPCR signaling.
Science signalingAlpha-smooth muscle actin-expressing dermal sheath cells are a major cellular contributor to heterotopic subcutaneous ossifications in a mouse model of Albright hereditary osteodystrophy.
JBMR plusAtypical presentation of pseudohypoparathyroidism with absence of mutations in the GNAS gene: a case report.
BMC endocrine disordersBidirectional disruption of GNAS transcripts causes broad methylation defects in pseudohypoparathyroidism type 1B.
Proceedings of the National Academy of Sciences of the United States of AmericaBone in Parathyroid Diseases Revisited: Evidence From Epidemiological, Surgical and New Drug Outcomes.
Endocrine reviewsGermline-derived GNAS-Gsα variants associated with both gain-of-function and loss-of-function phenotypes.
European journal of endocrinologyPseudohypoparathyroidism: Challenges in Early Recognition and Diagnosis of a Rare Hereditary Disorder.
CureusHypocalcemic Tetany Transiently "Cured" by Pregnancy: A Case Report.
American journal of kidney diseases : the official journal of the National Kidney FoundationObesity with developmental delay in infancy: a rare cause not to miss-pseudohypoparathyroidism.
BMJ case reportsDiagnostic Imaging of Primary Cutaneous Osteoma of the Forehead.
Case reports in dermatologyA biallelically active embryonic enhancer dictates GNAS imprinting through allele-specific conformations.
Nature communicationsPseudohypoparathyroidism Type 1b with Digital Clubbing.
Internal medicine (Tokyo, Japan)Pseudohypoparathyroidism type 1A presenting as short stature and congenital hypothyroidism.
Endocrinology, diabetes & metabolism case reportsA rare case of acrodysostosis type 2 with PDE4D mutation in a young female: a case report.
Oxford medical case reportsThe Endocrine Chameleon: Expanding the Phenotype of Pseudohypoparathyroidism 1A in Infancy.
Hormone research in paediatrics[Clinical and genetic characteristics analysis of two children with comorbidity of two rare genetic diseases].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsHeterodisomy in the GNAS locus is also a cause of pseudohypoparathyroidism type 1B (iPPSD3).
Frontiers in endocrinologygnas Knockdown Induces Obesity and AHO Features in Early Zebrafish Larvae.
International journal of molecular sciencesBone Microstructure and Bone Strength Among Patients with Pseudohypoparathyroidism.
Calcified tissue internationalRecurrent small variants in NESP55/NESPAS associated with broad GNAS methylation defects and pseudohypoparathyroidism type 1B.
JCI insightFahr's Syndrome with Pseudohypoparathyroidism: Oral Features and Genetic Insights.
International journal of molecular sciencesSensory Processing Challenges in Children with Neurodevelopmental Disorders and Genetic Conditions: An Observational Study.
NeuroSciGenotype-Phenotype Correlation of GNAS Gene: Review and Disease Management of a Hotspot Mutation.
International journal of molecular sciencesCase report: Familial hypoparathyroidism with elevated parathyroid hormone due to an inactivating PTH mutation.
Frontiers in endocrinology[The importance of early diagnosis in pseudohypoparathyroidism. Review of the topic and clinical - radiological findings in a case of pseudohypoparathyroidism 1 A with late presentation].
Revista espanola de geriatria y gerontologiaVitamin D-dependent Rickets Type 1A Mimicking Pseudohypoparathyroidism in Presence of Active Tuberculosis.
JCEM case reportsA Curious Case of Severe Recurrent Hypocalcemia.
CureusEiken syndrome with parathyroid hormone resistance due to a novel parathyroid hormone receptor type 1 mutation: clinical features and functional analysis.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchPrevalence of hearing loss in pseudohypoparathyroidism.
Orphanet journal of rare diseasesPseudohypoparathyroidism leading to bilateral hip fracture: A case report.
Radiology case reportsAlbright's Hereditary Osteodystrophy: A Rare Genetic Disorder Diagnosed on Standard Radiography.
Journal of the Belgian Society of RadiologyGrowth Hormone Deficiency in an Adolescent With Pseudohypoparathyroidism Type 1B.
JCEM case reportsCharacterization of Digestive Manifestations in Patients with Impaired PTH/PTHrP Signaling Disorder/Pseudohypoparathyroidism.
Hormone research in paediatricsA Novel Maternally Inherited GNAS Variant in a Family With Hyperphagia and Obesity: 3 Cases.
JCEM case reportsA novel GNAS mutation in pseudohypoparathyroidism type 1a with articular flexion deformity: A case report.
Open life sciencesSTX16 exon 5-7 deletion in a patient with pseudohypoparathyroidism type 1B.
Journal of pediatric endocrinology & metabolism : JPEMPseudohypoparathyroidism type 1B with involuntary movements: a case report and literature review.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyInduced pluripotent stem cells derived renal tubular cells from a patient with pseudohypoparathyroidism and its response to parathyroid hormone stimulation.
Molecular biology reportsTeaching NeuroImage: A 9-Year-Old Boy With Pseudohypoparathyroidism.
NeurologyHigh Prevalence of Hypercalcitoninemia in a Large Cohort of Adult and Pediatric Patients With PTH Resistance Syndromes.
The Journal of clinical endocrinology and metabolismPseudohypoparathyroidism Type IB with Subclinical Hypothyroidism: a Pedigree Investigation and Literature Review.
Diabetes, metabolic syndrome and obesity : targets and therapyCutaneous Calcified Mass of Foot in Pseudohypoparathyoidism: Case Report.
Medicina (Kaunas, Lithuania)Identification of a novel GNAS mutation in a family with pseudohypoparathyroidism type 1A.
BMC pediatricsA novel GNAS-Gsα splice donor site variant in a girl with pseudohypoparathyroidism type 1A and her mother with pseudopseudohypoparathyroidism.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyThe Diagnosis of Albright's Osteodystrophy in a Case With Respiratory Failure.
CureusMedulloblastoma in a child with osteoma cutis - a rare association due to loss of GNAS expression.
Journal of pediatric endocrinology & metabolism : JPEMVara Deformity and Subluxed Humeral Heads: An Unusual Sign in Pseudohypoparathyroidism.
CureusEpileptic seizures and abnormal tooth development as primary presentation of pseudohypoparathyroidism type 1B.
BMJ case reportsNovel 4.18 Mb deletion resulting in 2q37 microdeletion syndrome combined with PTH resistance found in one Chinese patient.
EndocrineDiagnosis and approach of pseudohypoparathyroidism type 1A and related disorders during long term follow-up: a case report.
Journal of pediatric endocrinology & metabolism : JPEMRare case in Somalia: Fahr's syndrome.
Annals of medicine and surgery (2012)GNAS AS2 methylation status enables mechanism-based categorization of pseudohypoparathyroidism type 1B.
JCI insightA Comprehensive Review of Syndromic Forms of Obesity: Genetic Etiology, Clinical Features and Molecular Diagnosis.
Current obesity reportsOsteoma cutis in pseudohypoparathyroidism type 1A.
QJM : monthly journal of the Association of PhysiciansInterpreting epigenetic causes of recurrent hypokalemia and seizures: Gitelman syndrome co-exist with pseudohypoparathyroidism type 1B.
Nephrology (Carlton, Vic.)C-Cell Hyperplasia and Cystic Papillary Thyroid Carcinoma in a Patient with Type 1B Pseudohypoparathyroidism and Hypercalcitoninaemia: Case Report and Review of the Literature.
Journal of clinical medicineThe role of genetic and epigenetic GNAS alterations in the development of early-onset obesity.
Mutation research. Reviews in mutation researchIntrafamilial phenotypic heterogeneity in siblings with pseudohypoparathyroidism 1B due to maternal STX16 deletion.
Journal of pediatric endocrinology & metabolism : JPEMRecurrent transient severe hypocalcaemia in two siblings with type 1 Bartter syndrome.
Nephrology (Carlton, Vic.)A Case of Genetically Confirmed Pseudohypoparathyroidism Type 1a Presented with Multifocal Plate-Like Osteoma Cutis and Review of Literature.
Annals of dermatologyFahr Syndrome Secondary to Pseudohypoparathyroidism.
JCEM case reports(Epi)genetic and clinical characteristics in 84 patients with pseudohypoparathyroidism type 1B.
European journal of endocrinologyExplorative research on glucolipid metabolism and levels of adipokines in pseudohypoparathyroidism type 1 patients.
Orphanet journal of rare diseasesA Case of Pseudohypoparathyroidism Misdiagnosed as Idiopathic Epilepsy for 5 Years: Clinical Analysis and Follow-up Outcomes.
The Journal of international medical researchEffectiveness of topical sodium thiosulfate for ectopic calcifications and ossifications. Results of the CATSS-O study.
Seminars in arthritis and rheumatismPseudohypoparathyroidism: complex disease variants with unfortunate names.
Journal of molecular endocrinologyBenign Recurrent Aseptic Meningitis Complicated by Pseudohypoparathyroidism: A Case Report.
Clinical pediatricsGNAS locus: bone related diseases and mouse models.
Frontiers in endocrinologyRare Case of Pseudohypoparathyroidism With Normocalcemia Because of a Novel GNAS Mutation.
JCEM case reportsBartter Syndrome Type 1 Due to Novel SLC12A1 Mutations Associated With Pseudohypoparathyroidism Type II.
JCEM case reportsVenous Thrombosis in a Pseudohypoparathyroidism Patient with a Novel GNAS Frameshift Mutation and Complete Resolution of Vascular Calcifications with Acetazolamide Treatment.
Hormone research in paediatricsParathyroid Hormone Resistance: An Uncommon Cause of Hypocalcaemia in an Adult Ghanaian Female.
West African journal of medicinePseudohypoparathyroidism versus signaling disorder: A case report.
SAGE open medical case reportsApplication of calcium-to-phosphorus (Ca/P) ratio in the diagnosis of pseudohypoparathyroidism: another piece in the puzzle of diagnosis of Ca-P metabolism disorders.
Frontiers in endocrinologyGenotype-phenotype correlations in pseudohypoparathyroidism type 1a patients: a systemic review.
European journal of endocrinologyAcute coronary syndrome with severe coronary calcification in a patient with pseudo-pseudohypoparathyroidism.
Journal of cardiology casesA case report of a patient with primary familial brain calcification with a PDGFRB genetic variant.
Frontiers in neurologyOverweight and obesity in children and adolescents with endocrine disorders.
Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, CzechoslovakiaClinical and Molecular Characteristics and Long-term Follow-up of Children With Pseudohypoparathyroidism Type IA.
The Journal of clinical endocrinology and metabolismOdyssey of a Misclassified Genomic Variant: Insight from an Incidental Finding Assessment.
Child neurology openMultiple brown tumors: a bone complication due to long-term untreated pseudohypoparathyroidism.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USACo-occurrence of Beckwith-Wiedemann syndrome and pseudohypoparathyroidism type 1B: coincidence or common molecular mechanism?
Frontiers in cell and developmental biologyMaternal Imprinting in Pseudohypoparathyroidism - A Very Rare GNAS Gene Mutation Follows the Pattern.
Indian journal of pediatricsVitamin D deficiency in adulthood: Presentation of 2familial cases simulating pseudohypoparathyroidism.
Medicina clinicaNutrition recommendations for patients with pseudohypoparathyroidism.
Anales de pediatriaGenetic Obesity Disorders: Body Mass Index Trajectories and Age of Onset of Obesity Compared with Children with Obesity from the General Population.
The Journal of pediatricsRecombinant growth hormone improves growth and adult height in patients with maternal inactivating GNAS mutations.
European journal of endocrinologyCraniosynostosis in primary metabolic bone disorders: a single-institution experience.
Child's nervous system : ChNS : official journal of the International Society for Pediatric NeurosurgerySpectrum of Disorders associated with Tetany.
The Journal of the Association of Physicians of IndiaGNAS gene mutations affecting XLαs and bone health: A long neglected relationship.
Clinical geneticsNeonatal and Early Infancy Features of Patients With Inactivating PTH/PTHrP Signaling Disorders/Pseudohypoparathyroidism.
The Journal of clinical endocrinology and metabolismFahr´s Syndrome; Pseudohypoparathyroidism Type Ib Masquerading as Epileptic Seizures.
Kathmandu University medical journal (KUMJ)Variable Bone Phenotypes in Patients with Pseudohypoparathyroidism.
Current osteoporosis reportsInfant With Pseudohypoparathyroidism Type 1a, Misdiagnosed as Congenital Hypothyroidism.
Medical archives (Sarajevo, Bosnia and Herzegovina)A Rare Observation of Brachymetacarpia and Brachymetatarsia in a Patient with Primary Idiopathic Hypoparathyroidism.
Case reports in endocrinologyThe long-range interaction between two GNAS imprinting control regions delineates pseudohypoparathyroidism type 1B pathogenesis.
The Journal of clinical investigationStructural and Functional Implication of Natural Variants of Gαs.
International journal of molecular sciencesA Novel GNAS Mutation in a Patient with Ia Pseudohypoparathyroidism (iPPSD2) Phenotype.
GenesSevere early-onset overgrowth in a case of pseudohypoparathyroidism type 1b, caused by STX16 deletion.
American journal of medical genetics. Part AHomozygous Ser-1 to Pro-1 mutation in parathyroid hormone identified in hypocalcemic patients results in secretion of a biologically inactive pro-hormone.
Proceedings of the National Academy of Sciences of the United States of AmericaParathyroid diseases and metabolic syndrome.
Journal of endocrinological investigationAtrophic macules containing mesenchymal cells are precursor lesions of osteoma cutis in Albright hereditary osteodystrophy.
Journal of cutaneous pathologyFrequency of de novo variants and parental mosaicism in families with inactivating PTH/PTHrP signaling disorder type 2.
Frontiers in endocrinologyWhole-genome sequencing revealed a novel long-range deletion mutation spanning GNAS in familial pseudohypoparathyroidism.
Molecular genetics & genomic medicinePrevalence of Chiari malformation type 1 is increased in pseudohypoparathyroidism type 1A and associated with aberrant bone development.
PloS oneOne half-century of advances in the evaluation and management of disorders of bone and mineral metabolism in children and adolescents.
Journal of pediatric endocrinology & metabolism : JPEMBasal ganglia calcification: pseudohypoparathyroidism with short fourth metacarpals.
Practical neurology[Analysis of GNAS gene variant in a Chinese pedigree affected with pseudohypoparathyroidism].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsComplete Pseudo-Anodontia in an Adult Woman with Pseudo-Hypoparathyroidism Type 1a: A New Additional Nonclassical Feature?
Diagnostics (Basel, Switzerland)Pseudohypoparathyroidism during pregnancy and the postpartum period: A case series of five patients.
Frontiers in endocrinologyClinical and genetic characteristics for 4 patients with Type Ib pseudohypoparathyroidism.
Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciencesPathogenic variants of the GNAS gene introduce an abnormal amino acid sequence in the β6 strand/α5 helix of Gsα, causing pseudohypoparathyroidism type 1A and pseudopseudohypoparathyroidism in two unrelated Japanese families.
Bone reportsSporadic pseudohypoparathyroidism type 1B due to methylation abnormality combined with hypokalemia: A case report and review.
Annales d'endocrinologiePTH, FGF-23, Klotho and Vitamin D as regulators of calcium and phosphorus: Genetics, epigenetics and beyond.
Frontiers in endocrinologyFull-length versus intact PTH concentrations in pseudohypoparathyroidism type 1 and primary hyperparathyroidism: clinical evaluation of immunoassays in individuals from China.
EndocrineNew insights into thyroid dysfunction in patients with inactivating parathyroid hormone/parathyroid hormone-related protein signalling disorder (the hormonal and ultrasound aspects): One-centre preliminary results.
Frontiers in endocrinologyParoxysmal Dyskinesia in a case of Hypocalcemia with Hypothyroidism and Pseudohypoparathyroidism.
Annals of Indian Academy of NeurologyPrevalence of Pseudohypoparathyroidism and Nonsurgical Hypoparathyroidism in Japan in 2017: A Nationwide Survey.
Journal of epidemiology[Pseudohypoparathyroidism and variants: A translational medicine success story].
Medecine sciences : M/SAcrodysostosis and pseudohypoparathyroidism (PHP): adaptation of Japanese patients with a newly proposed classification and expanding the phenotypic spectrum of variants.
Endocrine connectionsCharacterizing Cerebral Imaging and Electroclinical Features of Five Pseudohypoparathyroidism Cases Presenting with Epileptic Seizures.
Behavioural neurologyDelayed diagnosis of pseudohypoparathyroidism type 1a with rare hypothyroidism since childhood.
Oxford medical case reportsA patient with pseudohypoparathyroidism type 1A previously misdiagnosed as hereditary multiple exostosis: A case report.
Experimental and therapeutic medicineGNAS mutation is an unusual cause of primary adrenal insufficiency: a case report.
BMC pediatricsResting Energy Expenditure and Body Composition in Children and Adolescents With Genetic, Hypothalamic, Medication-Induced or Multifactorial Severe Obesity.
Frontiers in endocrinologyDifferent AHO phenotype in a Chinese family with a novel GNAS missense variant: a case report.
Italian journal of pediatricsFahr's Disease and Hypoparathyroidism - A Missing Link.
Neurology IndiaFamilial Pseudohypoparathyroidism Type IB Associated with an SVA Retrotransposon Insertion in the GNAS Locus.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchCase Report: Inactivating PTH/PTHrP Signaling Disorder Type 1 Presenting With PTH Resistance.
Frontiers in endocrinologyTargeted Long-Read Sequencing Identifies a Retrotransposon Insertion as a Cause of Altered GNAS Exon A/B Methylation in a Family With Autosomal Dominant Pseudohypoparathyroidism Type 1b (PHP1B).
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchFunctional Properties of Two Distinct PTH1R Mutants Associated With Either Skeletal Defects or Pseudohypoparathyroidism.
JBMR plusPseudohypoparathyroidism: a diagnosis to consider once a PTH elevation is detected.
Acta bio-medica : Atenei ParmensisNovel genetic variants of KHDC3L and other members of the subcortical maternal complex associated with Beckwith-Wiedemann syndrome or Pseudohypoparathyroidism 1B and multi-locus imprinting disturbances.
Clinical epigeneticsEarly Diagnosis of Pseudohypoparathyroidism before the Development of Hypocalcemia in a Young Infant.
Children (Basel, Switzerland)Fahr syndrome discovered in adulthood revealing a rare GNAS mutation in pseudohypoparathyroidism type 1a in a Tunisian family.
Clinical case reportsAlbright's hereditary osteodystrophy: an entity to recognize.
Rheumatology (Oxford, England)Tertiary hyperparathyroidism in patients with pseudohypoparathyroidism type 1a.
Bone reportsClinical and genetic analysis of pseudohypoparathyroidism complicated by hypokalemia: a case report and review of the literature.
BMC endocrine disordersParoxysmal Kinesigenic Dyskinesia Secondary to Pseudohypoparathyroidism Responding to Correction of Calcium.
Movement disorders clinical practiceNovel multilocus imprinting disturbances in a child with expressive language delay and intellectual disability.
American journal of medical genetics. Part AA novel GNAS variant presents with disorders of GNAS inactivation and cardiomyopathy.
American journal of medical genetics. Part AEvaluating the variety of GNAS inactivation disorders and their clinical manifestations in 11 Chinese children.
BMC endocrine disordersIntracranial calcifications in pseudohypoparathyroidism type 1b: Report of four cases.
Endocrinologia, diabetes y nutricionAberrant Bone Regulation in Albright Hereditary Osteodystrophy dueto Gnas Inactivation: Mechanisms and Translational Implications.
Current osteoporosis reportsIntralesional sodium thiosulfate treatment of calcinosis cutis in pseudopseudohypoparathyroidism.
Pediatric dermatologyA novel variant in the GNAS complex locus causes Albright hereditary osteodystrophy with pseudopseudohypoparathyroidism.
JAAD case reportsA complex pheotype in a girl with a novel heterozygous missense variant (p.Ile56Phe) of the GNAS gene.
Orphanet journal of rare diseasesNovel PTH Gene Mutations Causing Isolated Hypoparathyroidism.
The Journal of clinical endocrinology and metabolismPseudohypoparathyroidism type 1 B mimicking Fahr's disease in a 28-year-old female: A case report.
Clinical case reportsAutosomal dominant pseudohypoparathyroidism type 1b due to STX16 deletion: a case presentation and literature review.
Minerva endocrinologyA novel deletion involving the first GNAS exon encoding Gsα causes PHP1A without methylation changes at exon A/B.
BoneParental Origin of Gsα Inactivation Differentially Affects Bone Remodeling in a Mouse Model of Albright Hereditary Osteodystrophy.
JBMR plusGenetics of monogenic disorders of calcium and bone metabolism.
Clinical endocrinologyNovel Pathogenetic Variants in PTHLH and TRPS1 Genes Causing Syndromic Brachydactyly.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchPseudohypoparathyroidism type 1a caused by a GNAS gene mutation: over 40 years without a proper diagnosis.
Polish archives of internal medicineLack of GNAS Remethylation During Oogenesis May Be a Cause of Sporadic Pseudohypoparathyroidism Type Ib.
The Journal of clinical endocrinology and metabolismParathyroid Hormone Resistance and Autoantibodies to the PTH1 Receptor.
The New England journal of medicineCalcitriol and Levothyroxine Dosing for Patients With Pseudohypoparathyroidism.
Journal of the Endocrine SocietySporadic Pseudohypoparathyroidism Type 1B in Monozygotic Twins: Insights Into the Pathogenesis of Methylation Defects.
The Journal of clinical endocrinology and metabolismMolecular genetic analysis and growth hormone response in patients with syndromic short stature.
BMC medical genomicsA unique case of bilateral triceps avulsion fracture in a patient with pseudohypoparathyroidism.
Shoulder & elbowHypoparathyroidism and pseudohypoparathyroidism in pregnancy: an Italian retrospective observational study.
Orphanet journal of rare diseasesObesity-Associated GNAS Mutations and the Melanocortin Pathway.
The New England journal of medicineHormone resistance in children: what primary care physicians need to know.
Acta bio-medica : Atenei ParmensisBrachydactyly in Pseudopseudohypoparathyroidism.
Mayo Clinic proceedingsProgression of PTH Resistance in Autosomal Dominant Pseudohypoparathyroidism Type Ib Due to Maternal STX16 Deletions.
The Journal of clinical endocrinology and metabolismPreoperative matching studies in the diagnosis of parathyroid adenoma for primary hyperparathyroidism: Can we avoid intraoperative PTH monitoring?
Cirugia espanolaPseudohypoparathyroidism mimicking cervical diffuse idiopathic skeletal hyperostosis with dysphagia: A case report and literature review.
Bone reportsIs All Hypocalcemia Due to Low Parathyroid Hormone?: An Unusual Case of Pseudohypoparathyroidism in a Young and Healthy Patient.
CureusHypocalcemia as a Cause of Complex Febrile Seizures in a Toddler.
Case reports in pediatricsCentral Precocious Puberty in a Boy with Pseudohypoparathyroidism Type 1A due to a Novel GNAS Variant, with Congenital Hypothyroidism as the First Manifestation.
Journal of clinical research in pediatric endocrinologyA Case of Sporadic Pseudohypoparathyroidism Type 1B Presented with Hypokalemia.
Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme[Respiratory impairment in a patient with acrodysostosis: A rare association of an uncommon pathology].
Archivos argentinos de pediatriaA Distinct Variant of Pseudohypoparathyroidism (PHP) First Characterized Some 41 Years Ago Is Caused by the 3-kbSTX16 Deletion.
JBMR plusMild progressive osseous heteroplasia overlap syndrome with PTH and TSH resistance appearing during adolescence and not early childhood.
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- A maternal exon H splice-site variant leading to pseudohypoparathyroidism type 1B with broad methylation defects in GNAS-differentially methylated regions.
- Adult-onset pseudohypoparathyroidism type 1B diagnosed by methylation analysis: A case report and diagnostic considerations.
- Automated bone age assessment in rare pediatric growth disorders: a comparative study using Deeplasia.
- Cerebral Calcification and Treatment-Resistant Seizures: A Rare Syndromic Presentation of Pseudohypoparathyroidism-A Case Report.
- Three-generation familial transmission of a GNAS variant: from gestational phenotype in the mother to evolving prenatal/neonatal phenotype in the offspring.
- Pseudohypoparathyroidism in a Chinese girl: A case report.
- Clinical picture of early infancy PTH resistance syndromes: is it time to improve diagnostic criteria?
- [Clinical and genetic characteristics of pseudohypoparathyroidism type 1].
- From hypercalcemia to the diagnosis of pseudohypoparathyroidism type 1b: a case report.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:97593(Orphanet)
- MONDO:0019992(MONDO)
- GARD:10758(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q819207(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
