Multiple Sclerosis in a patient with pseudopseudohypoparathy
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Multiple sclerosis and pseudopseudohypoparathyroidism have not been reported in the same patient before. Here, we present a case that was diagnosed as multiple sclerosis and appeared to have a form of osteodystrophy that was not known to her before. A 30-year old woman admitted with right hemiparesis and diagnostic workup showed bilateral multiple demyelinating lesions in brain MRI. Cerebrospinal fluid examination revealed oligoclonal band positivity and IgG index was 0,76. Pulse steroid treatment was started and the patient recovered completely. Besides, her phenotype was remarkable on physical examination. She had short stature, brachydactyly, round face, short neck, and obesity. Radiological evaluation of the hands revealed short 4th and 5th metacarpals. She had been operated for scoliosis. On suspicion, she was evaluated for endocrinopathies with skeletal abnormalities and the final diagnosis for the patient was pseudopseudohypoparathyroidism.

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