Abstract
A 48-year-old female patient with adult onset idiopathic hypoparathyroidism diagnosed at the age of 28 years developed a typical seropositive rheumatoid arthritis (RA) at 46 years of age after several years of evolution of a palindromic rheumatism. Only one case of an association between idiopathic hypoparathyroidism and RA has been described in the medical literature. Autoimmunity seems to play a pivotal role in the aetiopathogenesis of both diseases, and could explain the nature of this association; nevertheless, a chance association could not be excluded.
MeSH terms
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Absorptiometry, Photon
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Alleles
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Antibodies, Antinuclear / analysis
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Arthritis, Rheumatoid / diagnostic imaging
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Arthritis, Rheumatoid / etiology*
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Arthritis, Rheumatoid / immunology
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Arthritis, Rheumatoid / metabolism
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Bone Density
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Calcium / blood
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Diagnosis, Differential
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Female
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Follow-Up Studies
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HLA-DR Antigens / genetics
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HLA-DR Antigens / immunology
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HLA-DRB1 Chains
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Humans
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Hypoparathyroidism / complications*
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Hypoparathyroidism / diagnostic imaging
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Hypoparathyroidism / immunology
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Hypoparathyroidism / metabolism
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Middle Aged
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Parathyroid Hormone / blood
Substances
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Antibodies, Antinuclear
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HLA-DR Antigens
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HLA-DRB1 Chains
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Parathyroid Hormone
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Calcium