Nae Kojima (pronouns she/her/hers), 32 years old, presents with complaints of chronic, pruritic, sca

Nae Kojima (pronouns she/her/hers), 32 years old, presents with complaints of chronic, pruritic, scaly skin lesions predominantly on the face, neck, and hands. Nae reports tingling sensations around the lips and fingertips, accompanied by muscle cramps and spasms. Past medical history includes a thyroidectomy performed two years prior for a benign thyroid nodule; reports an uneventful post-surgical recovery. Physical examination confirms the presence of erythematous plaques with a silvery scale on the face, neck, and hands and a positive Chvostek’s sign.​ Which of the following is the most likely diagnosis? Hyperparathyroidism Hypoparathyroidism Hypothyroidism Hyperthyroidism

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