Albright's hereditary osteodystrophy is a form of osteodystrophy, and is classified as the phenotype of pseudohypoparathyroidism type 1A; this is a condition in which the body does not respond to parathyroid hormone.
Signs and symptoms
The disorder is characterized by the following:
Hypogonadism Brachydactyly syndrome Choroid plexus calcification Hypoplasia of dental enamel Full cheeks Hypocalcemic tetany Individuals with Albright hereditary osteodystrophy exhibit short stature, characteristically shortened fourth and fifth metacarpals, rounded facies, and often mild intellectual deficiency.
Genetics This condition is associated with genetic imprinting. It is thought to be inherited in an autosomal dominant pattern, and seems to be associated with a Gs alpha subunit deficiency.
Mechanism The mechanism of this condition is due to Gs signaling decrease in hormones having to do with signal transduction which is when a signal from outside cell causes change within the cell (in function). Renal tubule cells only express maternal alleles (variant form of a gene).
Diagnosis The diagnosis of Albright's hereditary osteodystrophy is based on the following exams below:
Clinical features Serum calcium, phosphorus, PTH Urine test for cAMP and phosphorus
Treatment Treatment consists of maintaining normal levels of calcium, phosphorus, and vitamin D. Phosphate binders, supplementary calcium and vitamin D will be used as required.
History The disorder bears the name of Fuller Albright, who characterized it in 1942. He was also responsible for naming it "Sebright bantam syndrome," after the Sebright bantam chicken, which demonstrates an analogous hormone insensitivity. Much less commonly, the term Martin-Albright syndrome is used, this refers to Eric Martin.
See also Pseudopseudohypoparathyroidism
References This article incorporates text in the public domain from page 798 of the 20th edition of Gray's Anatomy (1918)
Further reading Thakker, Rajesh V.; Whyte, Michael P.; Eisman, John; Igarashi, Takashi (2013). Genetics of Bone Biology and Skeletal Disease. Academic Press. ISBN 9780123878304. Retrieved 12 February 2017. Henderson, Katherine E.; Baranski, Thomas J.; Bickel, Perry E.; Clutter, William E. (2009). The Washington Manual Endocrinology Subspecialty Consult. Lippincott Williams & Wilkins. ISBN 9780781791540. Retrieved 12 February 2017.
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