title: Visual disturbances as a presenting feature of pseudohypoparathyroidism.
abstract: BACKGROUND
  Visual disturbance as a presenting feature of pseudohypoparathyroidism (PHP) is uncommon. Although papilledema is commonly reported with hypoparathyroidism primary or secondary, but not reported commonly with PHP.
  
  
  METHODS
  A 10-year-old male child presented to our outpatient service with the complaints of blurring of vision, diplopia, and associated headache. There was no history of seizure episode. Patient had rounded face with a short, stocky built. Shortening of the fourth metacarpal and fifth metatarsal was present. Pitted nails and bilateral cataract. Patient also had clinical signs and biochemical parameters of hypocalcemia, along with normal parathyroid hormone (PTH) levels. Consistent with pseudohypopathyroidism.
  
  
  CONCLUSIONS
  In cases of chronic papilledema, the assessment of the calcium serum level is a safe and simple method to exclude hypoparathyroidism or PHP.
authors.affiliation: Department of Endocrinology and Metabolism, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India.
authors.forename: Rushikesh
authors.initials: R
authors.lastname: Maheshwari
authors.forename: Radha P
authors.initials: RP
authors.lastname: Rani
authors.forename: Rajendra N
authors.initials: RN
authors.lastname: Prasad
authors.forename: Karthik T S
authors.initials: KT
authors.lastname: Reddy
authors.forename: Amaresh P
authors.initials: AP
authors.lastname: Reddy
keywords: AHO Phenotype; Pseudohypoparathyroidism; papilledema