Hypoparathroidism

Question 1

what causes it?

Answer 1

congenital absence (DiGeorge syndrome)
destruction (surgery, radiotherapy, malign)
autoimmune 
hypomagnesaemia 
idiopathic

Question 2

what is the long-term management?

Answer 2

calcium supplement >1-2g per day
vitamin D
- tablets: 1 alphacalcidol 0.5-1 mcg (sometimes more)
- depot injection: cholecalciferol 300,000 units 6 monthly