Table 4 Summary of the main interventions during the follow-up of patients with PHP and related disorders

From: Diagnosis and management of pseudohypoparathyroidism and related disorders: first international Consensus Statement

Action points

Infancy (newborn to 2 years)

Early childhood (2–6 years)

Late childhood to adolescence

Adulthood

Anticipatory guidance

Family support

NA

Genetic counselling

At diagnosis

At diagnosis

At diagnosis

At diagnosis

Medical evaluation

Linear growth

NA

Weight gain and BMI

Descended testis

If not checked before

If not checked before

Blood pressure

NA

a

Development and/or cognition

S

S

Psychosocial evaluation

NA

S

S

Ectopic ossifications

S

Orthodontic and/or dental

NA

S

Bone age radiography

NA

(in case of growth deceleration)

(in case of growth deceleration)

NA

Calcium–phosphorus metabolism

Age-appropriate renal imaging

b

b

b

Thyroid

Puberty

NA

NA

(biochemistry in case of retardation)

NA

GH secretion

NA

S

Glucose and lipid metabolism

NA

Fertility

NA

NA

S

S

  1. GH, growth hormone; NA, not applicable; PHP, pseudohypoparathyroidism; S, subjective (by history and physical examination); , to be performed at diagnosis and annually thereafter. aAt least once per year, with an appropriate sized cuff. bAnnually in case of increased excretion of urinary calcium or nephrocalcinosis.