Endocrine Abstracts (2006) 11 P98

Hypocalcemic cardiomyopathy in a patient with primary hypoparathyroidism and Fahr’s disease

S Azzoug & F Chentli

Endocrinological Department, Bab El Oued Hospital, Algiers, Algeria.

Hypocalcemic cardiomyopathy due to hypoparathyroidism is a very rare condition which responds favorably to vitaminocalcic treatment.

We report the case of a 50 years old man who presented to our unit for general fatigue, apathy and cough lasting several years with a worsening during the last months, there was biological evidence of hypoparathyroidism with profound hypocalcemia (21 mg/l) hyperphosphoremia (53 mg/l) and undetectable PTH levels the CT scan showed coexisting Fahr’s disease, the echocardiography revealed a dilated myocard with an impaired systolic function (ejection fraction =38%) after treatment with calcium and vitamin D derivates the clinical status of the patient improred prompthy and the cardiac abnormalities normalized within few days.

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