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Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia.

Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia. Research Abstract Details 

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  • Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia. Abstract Text:

    y iwasakiY Iwasaki,m asaiM Asai,m yoshidaM Yoshida,y oisoY Oiso,k hashimotoK Hashimoto,

    Magnesium (Mg) deficiency sometimes causes hypocalcemia with impaired PTH secretion although the precise mechanism remains unclear. We examined the PTH secretion in response to physiological hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia. We adopted sodium bicarbonate infusion test, which we recently developed, to evaluate the PTH response to acute decrease in plasma ionized Ca. The results showed that, before Mg replacement and when the patient was mildly hypocalcemic, absolutely no PTH release to hypocalcemic stimuli was observed. In contrast, the plasma Ca was promptly normalized following the start of Mg replacement, and brisk PTH response to hypocalcemic stimuli was obtained during the same test carried out a week after the Mg replacement. The data in this case thus suggest that: a) the acute regulation of PTH release by plasma ionized Ca is lost in the patient with hypomagnesemic hypocalcemia, and b) Mg deficiency itself is likely to be a primary cause of this disorder because the hormone response was clearly restored after shortterm Mg replacement alone.

    Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia. Publishing Authors By Initials

    y iwasakiY Iwasaki,m asaiM Asai,m yoshidaM Yoshida,y oisoY Oiso,k hashimotoK Hashimoto,

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    Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of endocrinological investigation

    VOLUME: 30

    Page Numbers: 513-6

    Journal Abbreviation: J. Endocrinol. Invest.

    ISSN: 1720-8386

    DAY: 24

    MONTH: Jun

    YEAR: 2007

    Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia. Information

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    LANGUAGE: eng

    NlmUniqueID: 7806594

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    Grant and Affiliation Information for Impaired parathyroid hormone response to hypocalcemic stimuli in a patient with hypomagnesemic hypocalcemia.

    AFFILIATION: Department of Endocrinology, Metabolism, and Nephrology, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku 783-8505, Japan. iwasaki@med.kochi-u.ac.jp

    Country: Italy

    Italy Research PublicationItaly Research Publication

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    MEDLINETA: J Endocrinol Invest

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