Hands of patient with pseudohypoparathyroidism Hands of patient with pseudohypoparathyroidism. A: Note the short fourth finger. 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: The Metabolic Basis of Inherited Disease, 4th ed. Stanbury JB, Wyngaarden JB, Frederickson DS [editors]. McGraw-Hill, 1978.) Source: Endocrine Disorders, Current Medical Diagnosis & Treatment 2017 Citation: Papadakis MA, McPhee SJ, Rabow MW. Current Medical Diagnosis & Treatment 2017; 2016 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1843/cmdt17_ch26_ef015b.png&sec=135718935&BookID=1843&ChapterSecID=135718249&imagename= Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved