{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:18Z","timestamp":1756312818102,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,23]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Mild developmental delay in infants with obesity is often disregarded, attributing it to increased weight by parents and practitioners. We report an infant with obesity and gross motor delay after the first 6 months of age, seizures and obstructive sleep apnoea. The child was diagnosed with pseudohypoparathyroidism (PHP) and was medically managed with parenteral calcium, vitamin D and magnesium. Appropriate early interventions by developmental therapists addressing the developmental domains coordinated by developmental paediatricians and relevant drug and diet management corrected the delay. The child is followed up for soft tissue calcifications, kidney functions and skeletal health. This case highlights the importance of early recognition and comprehensive management of correctable conditions like PHP by developmental specialists rather than addressing only the developmental aspect of it.<\/jats:p>","DOI":"10.1136\/bcr-2024-263698","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T23:55:41Z","timestamp":1740441341000},"page":"e263698","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Obesity with developmental delay in infancy: a rare cause not to miss\u2014pseudohypoparathyroidism"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6998-8649","authenticated-orcid":false,"given":"Anees F M","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Saveetha Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rine Benson","family":"Thobias","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Saveetha Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilavan","family":"Thirumavalavan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Saveetha Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santhosh","family":"Thangamani","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Saveetha Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5364-6919","authenticated-orcid":false,"given":"Lal D V","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Saveetha Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"2025082709165668000_18.2.e263698.1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-018-0042-0"},{"key":"2025082709165668000_18.2.e263698.2","unstructured":"Rout P , Jialal I . Hyperphosphatemia. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2024."},{"key":"2025082709165668000_18.2.e263698.3","unstructured":"Ucciferro P , Anastasopoulou C . Pseudohypoparathyroidism. In: StatPearls. 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Hypoparathyroidism and pseudohypoparathyroidism. In: Feingold KR , Anawalt B , Blackman MR , eds. Endotext. South Dartmouth (MA): MDText.com, Inc, 2000."},{"key":"2025082709165668000_18.2.e263698.8","doi-asserted-by":"crossref","first-page":"159","DOI":"10.6065\/apem.2346096.048","article-title":"Hypoparathyroidism in children and adolescents","volume":"28","author":"Korkmaz","year":"2023","journal-title":"Ann Pediatr Endocrinol Metab"},{"key":"2025082709165668000_18.2.e263698.9","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1210\/clinem\/dgab060","article-title":"Molecular Definition of Pseudohypoparathyroidism Variants","volume":"106","author":"J\u00fcppner","year":"2021","journal-title":"J Clin Endocrinol Metab"},{"key":"2025082709165668000_18.2.e263698.10","doi-asserted-by":"crossref","first-page":"e681","DOI":"10.1210\/clinem\/dgab660","article-title":"Progression of PTH Resistance in Autosomal Dominant Pseudohypoparathyroidism Type Ib Due to Maternal STX16 Deletions","volume":"107","author":"Kiuchi","year":"2022","journal-title":"J Clin Endocrinol Metab"},{"key":"2025082709165668000_18.2.e263698.11","doi-asserted-by":"crossref","DOI":"10.3390\/metabo12040289","article-title":"New Insights into Iron Deficiency Anemia in Children: A Practical Review","volume":"12","author":"Moscheo","year":"2022","journal-title":"Metabolites"},{"key":"2025082709165668000_18.2.e263698.12","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/tme.12408","article-title":"Khan KS.Serum thresholds for the diagnosis of iron deficiency in pregnancy: a systematic review: Serum ferritin for defining iron deficiency in pregnancy","volume":"27","author":"Daru","year":"2017","journal-title":"Transfusion Med"},{"key":"2025082709165668000_18.2.e263698.13","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-1048"},{"key":"2025082709165668000_18.2.e263698.14","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.130150"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:17:05Z","timestamp":1756311425000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":14,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,24]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1136\/bcr-2024-263698"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263698","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}