Longstanding hypoparathyroidism in a fifty-two-year-old woman misdiagnosed as spondyloarthropathy

Abstract EN

Introduction : Hypoparathyroidism might cause various musculoskeletal findings, resembling Spondyloarthropathies.

Case Presentation: We described a 52-year-old woman, diagnosed as a case of undifferentiated spondyloarthropathy for ten years, who was unresponsive to classic anti-inflammatory therapies.

She developed anterior ischemic optic neuropathy and had elevated muscle enzymes during the course of disease.

On a routine checkup, marked hypocalcemia and suppressed parathyroid hormone levels were found.

Calcium and calcitriol therapy led to clinical and laboratory improvement.

Conclusions : This case emphasizes the importance of recognizing rheumatic manifestations of hypoparathyroidism to preclude unnecessary treatments.

Serum calcium should be included in the diagnostic workup of these patients.