A case report of pseudohypoparathyroidism with bilateral fracture of neck of femur

Abstract

A 19 year old female presented with a spontaneous onset of progressive non-traumatic b/l hip pain with inability to walk since 5 weeks. P/h/o pulmonary TB 2 years back present. 5 drug AKT taken for 9 months. Local tenderness was elicited and xray and MRI pelvis with both hips and LS spine was done which showed pathological fracture of basal neck of femur both side with severe listhesis of lumbosacral spine. Diagnosis of Pseudohypoparathyroidism was made on the basis of blood investigations which showed hypocalcaemia, hyper- phosphatemia, raised PTH, low Vit D3 level. Fixation of bilateral of neck femur with cancellus screw done to provide compression both side along with calcium and Activated Vitamin D3 supplimentation. Patient showed excellent response.