Hypoparathyroidism X linked
Hypoparathyroidism, X-linked is a rare genetic disorder characterized by an underproduction of parathyroid hormone (PTH), which is crucial for regulating and maintaining a balance of the body's levels of calcium and phosphorus. This condition is specifically linked to the X chromosome, affecting predominantly males, though females who carry the defective gene can also exhibit symptoms or be asymptomatic carriers.
Causes[edit | edit source]
Hypoparathyroidism, X-linked, is caused by mutations in a gene located on the X chromosome. This gene is essential for the normal development and function of the parathyroid glands. In males, who have only one X chromosome, a single mutation can lead to the full manifestation of the disease. In females, who have two X chromosomes, a mutation in one of the X chromosomes can lead to them being carriers or, in some cases, showing symptoms of the disease due to X-inactivation or skewed X chromosome inactivation.
Symptoms[edit | edit source]
The symptoms of Hypoparathyroidism, X-linked, are primarily due to the low levels of calcium in the blood, known as hypocalcemia. These symptoms can include:
- Tetany (involuntary muscle contractions)
- Seizures
- Cataracts
- Dental abnormalities
- Calcification of the brain
- Muscle cramps and spasms
Diagnosis[edit | edit source]
Diagnosis of Hypoparathyroidism, X-linked, involves a combination of clinical evaluation, family history, and genetic testing. Blood tests are crucial for measuring levels of calcium, phosphorus, and PTH in the blood. Genetic testing can confirm the presence of mutations in the gene responsible for the condition.
Treatment[edit | edit source]
Treatment focuses on managing symptoms and maintaining normal levels of calcium and phosphorus in the blood. This typically involves supplements of calcium and vitamin D to increase calcium levels. In some cases, PTH replacement therapy may be considered. Regular monitoring of blood calcium levels is essential to adjust treatment as needed.
Prognosis[edit | edit source]
With appropriate treatment, individuals with Hypoparathyroidism, X-linked, can lead relatively normal lives. However, they require lifelong monitoring and treatment to manage their calcium levels and prevent complications.
See also[edit | edit source]
Hypoparathyroidism X linked Resources | |
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Contributors: Prab R. Tumpati, MD