Diagnosis. Pseudohypoparathyroidism type 1a in a patient with Albright hereditary osteodystrophy, characterized by hypocalcemia, hypothyroidism, growth-hormone deficiency and insulin resistance.

Secondary hyperparathyroidism is characterized by normal calcium but high parathyroid hormone levels, whereas pseudohypoparathyroidism is associated with low calcium and high parathyroid hormone ...