Abstract
A 35-year-old patient who presented with recurrent chest infection, pulmonary oedema and cardiac failure was found to be grossly hypocalcaemic owing to previously undiagnosed hypoparathyroidism. The cardiac failure was not easily relieved by digoxin and diuretics but it quickly responded when the plasma calcium was restored to normal with dihydrotachysterol. With dihydrotachysterol as sole treatment for more than 2.5 years he had normal exercise tolerance and no features of cardiac failure.
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- Aryanpur I., Farhoudi A., Zangeneh F. Congestive heart failure secondary to idiopathic hypoparathyroidism. Am J Dis Child. 1974 May;127(5):738–739. doi: 10.1001/archpedi.1974.02110240124020. [DOI] [PubMed] [Google Scholar]
- BRONSKY D., KUSHNER D. S., DUBIN A., SNAPPER I. [Idiopathic hypoparathyroidism and pseudohypoparathyroidism: case reports and review of the literature]. Medicine (Baltimore) 1958 Dec;37(4):317–352. doi: 10.1097/00005792-195812000-00003. [DOI] [PubMed] [Google Scholar]
- Chiswick M. L. Association of oedema and hypomagnesaemia with hypocalcaemic tetany of the newborn. Br Med J. 1971 Jul 3;3(5765):15–18. doi: 10.1136/bmj.3.5765.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chiswick M. L. Heart failure and neonatal hypocalcaemia. Br Med J. 1972 Nov 11;4(5836):364–364. doi: 10.1136/bmj.4.5836.364-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Curry O. B., Basten J. F., Francis M. J., Smith R. Calcium uptake by sarcoplasmic reticulum of muscle from vitamin D-deficient rabbits. Nature. 1974 May 3;249(452):83–84. doi: 10.1038/249083a0. [DOI] [PubMed] [Google Scholar]
- DENT C. E., FRIEDMAN M. A COMPARISON BETWEEN A.T. 10 AND PURE DIHYDROTACHYSTEROL IN CONTROLLING HYPOPARATHYROIDISM. Lancet. 1964 Jul 25;2(7352):164–169. doi: 10.1016/s0140-6736(64)90229-6. [DOI] [PubMed] [Google Scholar]
- Dent C. E., Richens A., Rowe D. J., Stamp T. C. Osteomalacia with long-term anticonvulsant therapy in epilepsy. Br Med J. 1970 Oct 10;4(5727):69–72. doi: 10.1136/bmj.4.5727.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richens A., Rowe D. J. Disturbance of calcium metabolism by anticonvulsant drugs. Br Med J. 1970 Oct 10;4(5727):73–76. doi: 10.1136/bmj.4.5727.73. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Troughton O., Singh S. P. Heart failure and neonatal hypocalcaemia. Br Med J. 1972 Oct 14;4(5832):76–79. doi: 10.1136/bmj.4.5832.76. [DOI] [PMC free article] [PubMed] [Google Scholar]