CHRONIC IDIOPATHIC PARATHYROID TETANY

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Abstract
A 6-yr.-old girl showed severe, chronic idiopathic hypoparathyroidism which did not respond to vit. D therapy and was effectively controlled by large doses of parathyroid hormone and a high Ca, relatively low P intake over a period of 51/2 yrs. This regime became ineffective on 2 occasions, when the only change consisted in an increased intake of P (and Ca) and vit. D, and again became effective when the latter was omitted. Death was due to the development of a peculiar hemorrhagic state. No parathyroid tissue could be found at autopsy.