Patients with pseudopseudohypoparathyroidism do not show resistance to parathyroid hormone (PTH) or other hormones, as is the case with PHP1A, but do manifest the constellation of clinical features referred to as Albright hereditary osteodystrophy (AHO), which includes short stature, obesity, round facies, subcutaneous ossifications, brachydactyly, and other skeletal anomalies. Some patients have mental retardation.