Albright hereditary osteodystrophy Pseudohypoparathyroidism

• Facts:
  PTH resistance
  Typically presents in early childhood
• History / PE:
  Short stature
  Round facies
  Cataracts
  Short 4th metacarpal bone
• Diagnosis:
  Hypocalcemia , hyperphosphatemia
  Increased PTH levels
• Differential Diagnosis:
  Secondary hyperparathyroidism (seen with ESRD)