Leena is a feminine given name. It is a variant spelling of Lina and Lena. It is a direct Quranic Arabic name, meaning "young palm tree", or figuratively "tender, young, delicate". In Persian, it means "light", "a ray of sunlight" or "beautiful girl". In Kurdish, it means cascade falls (تئاڤگەی بچوک).
As it is also caused by a GNAS mutation, it is not clear whether it should be considered an entity separate from Ia. Presentation
Patients may present with features of hypocalcaemia including carpo-pedal muscular spasms, cramping, tetany, and if the calcium deficit is severe, generalized seizures. IQ is typically mildly depressed or unaffected. Additional characteristics include short stature, obesity, developmental delay, and calcification of the basal ganglia in the deep white matter of the brain.Type 1a Pseudohypoparathyroidism is clinically manifest by bone resorption with blunting of the fourth and fifth knuckles of the hand, most notable when the dorsum of the hand is viewed in closed fist position. This presentation is known as knuckle knuckle dimple dimple sign (Archibalds sign). This is as opposed to Turner syndrome which is characterized by blunting of only the fourth knuckle, and Down syndrome, which is associated with a hypoplastic middle phalanx. Related conditions
The term pseudopseudohypoparathyroidism is used to describe a condition where the individual has the phenotypic appearance of pseudohypoparathyroidism type 1a, but is biochemically normal. Diagnosis
Biochemical findings
hypocalcemia
hyperphosphatemia
elevated parathyroid hormone (hyperparathyroidism)
Suppressed calcitriol levels

Treatment
Calcium and Calcitriol supplements, the latter with a larger dose than for treatment of hypoparathyroidism.