The first case of pseudohypoparathyroidism with postmortem examination is reported. Microscopic examination shows hyperplastic upper parathyroid glands (only one was found) and normal age involution in the two found lower glands. All the bones examinated offered signs of exagerated bone replacement in time before death. In the cortical bone of the femur many lacunae of Howship with spare giant cell osteoclasts were seen. Circumscript calcifications in the renal medulla and in the thyroid gland were observed.
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