To the Editor.—
We recently saw a 25-year-old woman who had previous surgery for benign nodular goiter. The patient had a normal menstrual history. She was 132.5 cm tall and weighed 34.2 kg. Her face was rounded, and she had short fourth metacarpals and metatarsals and a high, arched palate. The patient also had chronic otitis media. Her breasts were thin but definitely showed evidence of estrogen effect. There was no galactorrhea. Although there was no history of other members of the family with similar appearances, the patient indicated that another endocrinologist made the diagnosis of pseudopseudohypoparathyroidism one year earlier. We requested the records from the hospital in which the patient was previously studied. This diagnosis was apparently based on the fact that she was menstruating regularly, had a normal serum calcium level, and yet had some of the physical characteristics of a patient with either Turner's syndrome or pseudopseudohypoparathyroidism.
Stoffer SS. Turner's Syndrome and Pseudopseudohypoparathyroidism. JAMA. 1982;247(12):1696. doi:10.1001/jama.1982.03320370014012
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