PTH and pseudohypoparathyroidism type 1A: Pedigree analysis verified that the mutation was maternally inherited in both families; however, the clinical presentation of the mutation varied among relatives in each family.<h4>Conclusion</h4>The symptoms of iPPSD are inconsistent and easily misidentified, which highlights the necessity of early genetic screening and PTH monitoring for patients with AHO-like physical traits or electrolyte imbalances.