Late-onset idiopathic hypoparathyroidism as a cause of diarrhoea

Maddalena Peracchi, Maria Teresa Bardella, Dario Conte

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A 62-year-old man presented with a 20-month history of intermittent watery diarrhoea and hypocalcaemia. At age 43 he had undergone partial gastrectomy with Billroth II anastomosis for perforated peptic ulcer and at age 57 developed megaloblastic anaemia with low serum cobalamin and folate levels. Exhaustive gastrointestinal studies performed to ascertain the cause of the diarrhoea were all negative. Plasma parathyroid hormone levels were undetectable and late-onset idiopathic hypoparathyroidism was diagnosed. Normalization of hypocalcaemia promptly corrected the bowel habit. Idiopathic hypoparathyroidism is an unusual cause of diarrhoea that should, however, be considered in patients with hypocalcaemia and associated diarrhoea without evidence of primary intestinal disease.

Original languageEnglish
Pages (from-to)163-165
Number of pages3
JournalEuropean Journal of Gastroenterology and Hepatology
Issue number2
Publication statusPublished - 1998


  • Diarrhoea
  • Hypocalcaemia
  • Idiopathic hypoparathyroidism
  • Intestinal malabsorption

ASJC Scopus subject areas

  • Gastroenterology


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