Treatment of hypoparathyroidism with the recombinant parathyroid hormone (1—34) in a female patient with type 1 autoimmune polyglandular syndrome: the first experience in the Russian Federation

Abstract

Hypoparathyroidism is one of the major symptoms of type 1 autoimmune polyglandular syndrome. Currently, vitamin D preparations are the treatment of choice for hypoparathyroidism of any etiology. The treatment with these medications is quite effective to normalize and maintain calcium level. The world experience in application of the recombinant parathyroid hormone for the treatment of hypoparathyroidism is very limited and indications for its use are not determined. However, there are increasingly more publications reflecting the experience in treatment of patients with hypoparathyroidism with the parathyroid hormone.
 Type 1 autoimmune polyglandular syndrome is characterized by multiform clinical manifestations and for this reason it is often difficult to achieve compensation using replacement therapy. Autoimmune enteropathy often develops, which leads to severe malabsorption of nutrients and drugs in the intestine and inefficient replacement therapy, which necessitates a special approach and additional recommendations for the treatment of these patients with combined pathology of several organs and systems. This article describes the first Russian experience in the use of teriparatide pump therapy in a female patients with hypoparathyroidism as a part of severe autoimmune polyglandular syndrome.