PMID- 9461360 OWN - NLM STAT- MEDLINE DCOM- 19980317 LR - 20190814 IS - 0340-6199 (Print) IS - 0340-6199 (Linking) VI - 157 IP - 1 DP - 1998 Jan TI - Clinical characteristics of children with hypoparathyroidism due to 22q11.2 microdeletion. PG - 34-8 AB - The phenotypes of chromosomal 22q11.2 microdeletion are quite variable among individuals and hypoparathyroidism (HP) constitutes a definite portion of the clinical spectrum. For the correct diagnosis and pertinent follow up of the HP children due to del22q11.2, we tried to delineate the clinical characteristics of such patients. By employing fluorescence in situ hybridization (FISH) to all the patients diagnosed as HP in our clinic, ten possessed the 22q11.2 microdeletion. Among them, the incidence of cardiac defect (5/10), recurrent infection (1/10) and cleft palate (1/10) was modest. Additionally, seven of them had been diagnosed as HP during the infantile period, when their facial abnormality and intellectual problem had not become evident. Notably, two patients were complicated by Graves disease, while the association of idiopathic thrombocytopenic purpura was also observed in two girls. CONCLUSION: HP due to del22q11.2 may be misdiagnosed as idiopathic, especially in an infant who lacks apparent complications like cardiac anomaly. They should be closely followed up for auto-immune complications. FAU - Adachi, M AU - Adachi M AD - Department of Endocrinology and Metabolism, Kanagawa Children's Medical Centre, Yokohama, Japan. FAU - Tachibana, K AU - Tachibana K FAU - Masuno, M AU - Masuno M FAU - Makita, Y AU - Makita Y FAU - Maesaka, H AU - Maesaka H FAU - Okada, T AU - Okada T FAU - Hizukuri, K AU - Hizukuri K FAU - Imaizumi, K AU - Imaizumi K FAU - Kuroki, Y AU - Kuroki Y FAU - Kurahashi, H AU - Kurahashi H FAU - Suwa, S AU - Suwa S LA - eng PT - Journal Article PL - Germany TA - Eur J Pediatr JT - European journal of pediatrics JID - 7603873 SB - IM MH - Child MH - Child, Preschool MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 22 MH - Cleft Palate/diagnosis/genetics MH - DiGeorge Syndrome/diagnosis/genetics MH - Diagnosis, Differential MH - Female MH - Heart Defects, Congenital/diagnosis/genetics MH - Humans MH - Hypoparathyroidism/diagnosis/*genetics MH - In Situ Hybridization, Fluorescence MH - Infant MH - Infant, Newborn MH - Male MH - Retrospective Studies EDAT- 1998/02/14 00:00 MHDA- 1998/02/14 00:01 CRDT- 1998/02/14 00:00 PHST- 1998/02/14 00:00 [pubmed] PHST- 1998/02/14 00:01 [medline] PHST- 1998/02/14 00:00 [entrez] AID - 10.1007/s004310050762 [doi] PST - ppublish SO - Eur J Pediatr. 1998 Jan;157(1):34-8. doi: 10.1007/s004310050762.