Jornal de Distúrbios e Terapia da Tireóide
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Severe Hypocalcemia in the Postpartum Period: A Rare Case of Primary Hypoparathyroidism and Autoimmune Thyroid Disease

Veselinovic N, Pavlovic A, Miljic D, Popovic V and Sternic N

Although autoimmune hypoparathyroidism is extremely rare in contrast to very common thyroid autoimmune diseases the combination of those two was recently shown to be to some extent higher than previously thought. Flareups of autoimmune diseases in the post-partum period are very common, however, to the best of our knowledge,this is the first report of an autoimmune hypoparathyroidism presenting with severe hypocalcaemia in a patient with autoimmune thyroid disease and normal thyroid function during the post-partum period. We present a case of a young woman with muscle spasms and basal ganglia calcifications due to severe hypocalcaemia induced by primary hypoparathyroidism. Here we discuss the pathophysiology and diagnostic aspects of this treatable disease.