47a27bb1802fda29b70abaf86c61a28b pmc_29959430.pdf a63750edae0ce0e8a99effde0575deae506bfff4 pmc_29959430.pdf ebb6e722efa6c5209be24617934744dad684a849a711bc88b84fcc579e916f2d pmc_29959430.pdf Title: Diagnosis and management of pseudohypoparathyroidism and related disorders: first international Consensus Statement Author: Giovanna Mantovani, Murat Bastepe, David Monk, Luisa de Sanctis, Susanne Thiele, Alessia Usardi, S. Faisal Ahmed, Roberto Bufo, Timothée Choplin, Gianpaolo De Filippo, Guillemette Devernois, Thomas Eggermann, Francesca M. Elli, Kathleen Freson, Aurora García Ramirez, Emily L. Germain-Lee, Lionel Groussin, Neveen Hamdy, Patrick Hanna, Olaf Hiort, Harald Jüppner, Peter Kamenický, Nina Knight, Marie-Laure Kottler, Elvire Le Norcy, Beatriz Lecumberri, Michael A. Levine, Outi Mäkitie, Regina Martin, Gabriel Ángel Martos-Moreno, Masanori Minagawa, Philip Murray, Arrate Pereda, Robert Pignolo, Lars Rejnmark, Rebecca Rodado, Anya Rothenbuhler, Vrinda Saraff, Ashley H. Shoemaker, Eileen M. Shore, Caroline Silve, Serap Turan, Philip Woods, M. Carola Zillikens, Guiomar Perez de Nanclares, Agnès Linglart Creator: AH XSL Formatter V6.3 R1 for Linux64 : 6.3.1.23495 (2016/02/03 14:39JST) Producer: Antenna House PDF Output Library 6.3.752 (Linux64) CreationDate: Wed May 29 22:50:54 2019 CEST ModDate: Wed May 29 22:50:54 2019 CEST Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 56 Encrypted: no Page size: 612 x 792 pts (letter) Page rot: 0 File size: 1169608 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- Times-Roman Type 1 Custom no no yes 11 0 Helvetica-Bold Type 1 Custom no no yes 13 0 Helvetica Type 1 Custom no no yes 16 0 SHTRDP+Code2000 CID TrueType Identity-H yes yes yes 160 0 Times-Bold Type 1 Custom no no yes 383 0 Times-BoldItalic Type 1 Standard no no no 3129 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-01-19 07:09:40 CET RepresentationInformation: pmc_29959430.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2020-02-24 03:44:14 CET Size: 1169608 Format: PDF Version: 1.5 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Tagged PDF PDFMetadata: Objects: 0 FreeObjects: 171 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: EN Outlines: Item: Title: Abstract Item: Title: Methods Item: Title: Clinical diagnosis Children: Item: Title: Clinical definitions Children: Item: Title: Albright hereditary osteodystrophy. Item: Title: Pseudohypoparathyroidism. Item: Title: Pseudopseudohypoparathyroidism. Item: Title: Progressive osseous heteroplasia. Item: Title: Acrodysostosis. Item: Title: Effect of correct diagnosis. Item: Title: Recommendations Item: Title: Main clinical components Children: Item: Title: Resistance to PTH. Item: Title: Recommendations Children: Item: Title: Ectopic ossification. Item: Title: Recommendations Children: Item: Title: Brachydactyly. Item: Title: Recommendations Item: Title: TSH resistance Item: Title: Additional frequent clinical features Item: Title: Differential diagnoses Item: Title: Evolution of PHP classification Item: Title: Recommendations Item: Title: Molecular diagnosis Children: Item: Title: Molecular confirmation Children: Item: Title: GNAS locus. Item: Title: Recommendations Item: Title: Genetic counselling Item: Title: Recommendations Item: Title: Prenatal testing Item: Title: Recommendations Item: Title: Management Children: Item: Title: Recommendation Item: Title: Management of PTH resistance Item: Title: Recommendations Item: Title: Management of TSH resistance Item: Title: Recommendations Item: Title: Management of growth and GH deficiency Item: Title: Recommendations Item: Title: Alterations in gonadal function Children: Item: Title: Gonadal function and puberty. Item: Title: Fertility and pregnancy. Item: Title: Menopause. Item: Title: Osteoporosis. Item: Title: Recommendations Item: Title: Management of other hormone resistances Item: Title: Recommendation Item: Title: Obesity and other metabolic issues Item: Title: Recommendations Item: Title: Management of ectopic ossifications Item: Title: Recommendations Item: Title: Brachydactyly and orthopaedic issues Children: Item: Title: Skeletal complications. Item: Title: Oral complications. Item: Title: Recommendations Item: Title: Management of cognitive function Item: Title: Recommendation Item: Title: Malignancy risk Item: Title: Recommendation Item: Title: Conclusions Item: Title: References Item: Title: Fig. 1 | Item: Title: Fig. 2 | Item: Title: Table 1 | Item: Title: Table 2 | Item: Title: Table 3 | Item: Title: Table 4 | Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 152 ImageHeight: 152 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1849 ImageHeight: 998 BitsPerSample: 8 BitsPerSampleUnit: integer Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1843 ImageHeight: 1751 BitsPerSample: 8 BitsPerSampleUnit: integer Fonts: Type0: Font: BaseFont: SHTRDP+Code2000 Encoding: Identity-H ToUnicode: true Type1: Font: BaseFont: Helvetica FirstChar: 32 LastChar: 138 FontDescriptor: FontName: Helvetica Flags: Nonsymbolic FontBBox: -166, -225, 1000, 931 EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: Times-BoldItalic Font: BaseFont: Times-Roman FirstChar: 32 LastChar: 161 FontDescriptor: FontName: Times-Roman Flags: Nonsymbolic FontBBox: -168, -218, 1000, 898 EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: Helvetica-Bold FirstChar: 32 LastChar: 135 FontDescriptor: FontName: Helvetica-Bold Flags: Nonsymbolic FontBBox: -170, -228, 1003, 962 EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: Times-Bold FirstChar: 32 LastChar: 129 FontDescriptor: FontName: Times-Bold Flags: Nonsymbolic FontBBox: -168, -218, 1000, 935 EncodingDictionary: Differences: true ToUnicode: true CIDFontType2: Font: BaseFont: SHTRDP+Code2000 CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: SHTRDP+Code2000 Flags: Symbolic FontBBox: -1111, -295, 2107, 977 FontFile2: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 477, 222, 496, 230 LastModified: D:20190529155054-05'00' Annotation: Subtype: Link Rect: 90, 213, 210, 221 LastModified: D:20190529155054-05'00' Annotation: Subtype: Link Rect: 270, 72, 409, 80 LastModified: D:20190529155054-05'00' Page: Sequence: 2 Page: Sequence: 3 Page: Sequence: 4 Page: Sequence: 5 Page: Sequence: 6 Page: Sequence: 7 Page: Sequence: 8 Page: Sequence: 9 Page: Sequence: 10 Page: Sequence: 11 Page: Sequence: 12 Page: Sequence: 13 Page: Sequence: 14 Page: Sequence: 15 Page: Sequence: 16 Page: Sequence: 17 Page: Sequence: 18 Page: Sequence: 19 Page: Sequence: 20 Page: Sequence: 21 Page: Sequence: 22 Page: Sequence: 23 Page: Sequence: 24 Page: Sequence: 25 Page: Sequence: 26 Page: Sequence: 27 Page: Sequence: 28 Page: Sequence: 29 Page: Sequence: 30 Page: Sequence: 31 Page: Sequence: 32 Annotations: Annotation: Subtype: Link Rect: 439, 583, 494, 591 LastModified: D:20190529155057-05'00' Annotation: Subtype: Link Rect: 150, 574, 188, 582 LastModified: D:20190529155057-05'00' Page: Sequence: 33 Page: Sequence: 34 Page: Sequence: 35 Page: Sequence: 36 Page: Sequence: 37 Page: Sequence: 38 Page: Sequence: 39 Page: Sequence: 40 Page: Sequence: 41 Page: Sequence: 42 Page: Sequence: 43 Annotations: Annotation: Subtype: Link Rect: 359, 592, 481, 601 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 170, 581, 224, 590 LastModified: D:20190529155058-05'00' Page: Sequence: 44 Page: Sequence: 45 Page: Sequence: 46 Page: Sequence: 47 Page: Sequence: 48 Annotations: Annotation: Subtype: Link Rect: 263, 693, 404, 703 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 150, 679, 318, 689 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 430, 659, 454, 669 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 150, 645, 265, 655 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 336, 624, 443, 634 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 173, 604, 306, 614 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 420, 584, 448, 594 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 150, 570, 390, 580 LastModified: D:20190529155058-05'00' Annotation: Subtype: Link Rect: 150, 556, 312, 566 LastModified: D:20190529155058-05'00' Page: Sequence: 49 Page: Sequence: 50 Page: Sequence: 51 Page: Sequence: 52 Page: Sequence: 53 Page: Sequence: 54 Page: Sequence: 55 Page: Sequence: 56 Checksum: 3cb3c8c7 Type: CRC32 Checksum: 47a27bb1802fda29b70abaf86c61a28b Type: MD5 Checksum: a63750edae0ce0e8a99effde0575deae506bfff4 Type: SHA-1 Checksum: ebb6e722efa6c5209be24617934744dad684a849a711bc88b84fcc579e916f2d Type: SHA-256