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Pseudopseudohypoparathyroidism can be best understood by comparing it to other conditions:
Pseudopseudohypoparathyroidism, the syndrome of GNAS paternal inheritance which results in similar dysmorphology but normal biochemistry.
Pseudopseudohypoparathyroidism, one of the longest words in the English language, is used to describe an individual with Albright's hereditary osteodystrophy but with normal parathyroid hormone and serum calcium levels.
Pseudopseudohypoparathyroidism and pseudohypoparathyroidism both involve the same GNAS gene, but pseudopseudohypoparathyroidism has normal calcium homeostasis because of the normal maternal allele in the kidney.