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Correspondence
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Volume 351:1032-1033 September 2, 2004 Number 10
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Hypoparathyroidism and Autoimmune Polyendocrine Syndromes

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 by Eisenbarth, G. S.
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To the Editor: In their review of autoimmune polyendocrine syndromes, Eisenbarth and Gottlieb (May 13 issue)1 do not, in our view, sufficiently discuss autoimmune hypoparathyroidism and recent advances in its understanding. Autoimmune hypoparathyroidism is present in 80 to 85 percent of patients with autoimmune polyendocrine syndrome type I and up to 5 percent of patients with autoimmune polyendocrine syndrome type II. The autoantigens were unknown until the extracellular domain of the calcium-sensing receptor was identified as a potential target.2 The calcium-sensing receptor is a cell-surface, G protein–coupled receptor through which parathyroid cells, thyroidal C cells, and various kidney cells recognize . . . [Full Text of this Article]




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