DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood

Introduction. DiGeorge syndrome is a developmental defect commonly caused by a microdeletion on the long arm of chromosome 22 or less frequently by a deletion of the short arm of chromosome 10. Case report. We report a case of a gentleman with mild dysmorphic features who presented with hypocalcaemi...

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Main Authors: Adrian Zammit, Deborah Grech Marguerat, Josephine Psaila, Alexander Attard
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/923129
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author Adrian Zammit
Deborah Grech Marguerat
Josephine Psaila
Alexander Attard
author_facet Adrian Zammit
Deborah Grech Marguerat
Josephine Psaila
Alexander Attard
author_sort Adrian Zammit
collection DOAJ
description Introduction. DiGeorge syndrome is a developmental defect commonly caused by a microdeletion on the long arm of chromosome 22 or less frequently by a deletion of the short arm of chromosome 10. Case report. We report a case of a gentleman with mild dysmorphic features who presented with hypocalcaemia-induced seizures and an associated thyroid mass with a background of learning difficulties and abnormal immune function. Discussion. DiGeorge syndrome was initially described in 1967 by Angelo DiGeorge. The majority of cases are due to a novel mutation. The resulting learning difficulties, congenital heart disease, palatal abnormalities, hypoplasia/aplasia of the parathyroid and thymus glands, and immune deficiency generally lead to diagnosis in childhood. Presentation in adulthood is rare but must be borne in mind when dealing with cases of hypocalcaemia even in the absence of florid phenotypic features. A link with malignant disease has also been reported and should lead to prompt investigation of concerning masses.
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spelling doaj-art-eeacd0047d1f4536a145ea9c2ad9b31f2025-02-03T01:32:11ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/923129923129DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in AdulthoodAdrian Zammit0Deborah Grech Marguerat1Josephine Psaila2Alexander Attard3Department of Surgery, Mater Dei Hospital, Msida MSD 2090, MaltaDepartment of Surgery, Mater Dei Hospital, Msida MSD 2090, MaltaDepartment of Surgery, Mater Dei Hospital, Msida MSD 2090, MaltaDepartment of Surgery, Mater Dei Hospital, Msida MSD 2090, MaltaIntroduction. DiGeorge syndrome is a developmental defect commonly caused by a microdeletion on the long arm of chromosome 22 or less frequently by a deletion of the short arm of chromosome 10. Case report. We report a case of a gentleman with mild dysmorphic features who presented with hypocalcaemia-induced seizures and an associated thyroid mass with a background of learning difficulties and abnormal immune function. Discussion. DiGeorge syndrome was initially described in 1967 by Angelo DiGeorge. The majority of cases are due to a novel mutation. The resulting learning difficulties, congenital heart disease, palatal abnormalities, hypoplasia/aplasia of the parathyroid and thymus glands, and immune deficiency generally lead to diagnosis in childhood. Presentation in adulthood is rare but must be borne in mind when dealing with cases of hypocalcaemia even in the absence of florid phenotypic features. A link with malignant disease has also been reported and should lead to prompt investigation of concerning masses.http://dx.doi.org/10.1155/2013/923129
spellingShingle Adrian Zammit
Deborah Grech Marguerat
Josephine Psaila
Alexander Attard
DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood
Case Reports in Medicine
title DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood
title_full DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood
title_fullStr DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood
title_full_unstemmed DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood
title_short DiGeorge Syndrome Presenting as Hypocalcaemia-Induced Seizures in Adulthood
title_sort digeorge syndrome presenting as hypocalcaemia induced seizures in adulthood
url http://dx.doi.org/10.1155/2013/923129
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