Hands of a patient with pseudohypoparathyroidism Hands of a patient with pseudohypoparathyroidism. A: Note the short fourth fingers. B: Note the “absent“ fourth knuckle. C: Film shows the short fourth metacarpal. (Reproduced, with permission, from Potts JT. Pseudohypoparathyroidism: clinical features; signs and symptoms; diagnosis and differential diagnosis. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, eds. The Metabolic Basis of Inherited Disease. 4th ed. McGraw-Hill; 1978.) Source: Chapter 8. Metabolic Bone Disease, Greenspan’s Basic & Clinical Endocrinology, 9e Citation: Gardner DG, Shoback D. Greenspan’s Basic & Clinical Endocrinology, 9e; 2011 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/gard9/gard9_c008f019c.jpg&sec=39746254&BookID=380&ChapterSecID=39744048&imagename= Accessed: October 17, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved