98.2.16 Case Presentation

A Case Presentation

Maryam Zahedi 
Shahid beheshti Adault Endocinology Fellow

Problem List:
Short stature
Obesity
Round Face
Brachydactyly
Hypocalcemia
Hyperphosphatemia
High serum  PTH levels 
 hypothyroidism
Dental and oral malformation
Secondary Amenorrhea

Main questions:
What is the diagnosis?
If the diagnosis is PHP, what is the classification in this patient?
What are the main clinical featueres in the PHP and related diseases?
What is the cause of secondary amenorrhea in this patient?
What is the effect of PHP on Bone density?
Does genetic conselling is needed in this patient?
What could be the position of the Growth hormone treatment in this patient?