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Hypocalcemic tetany in a toddler with undiagnosed rickets
R Y Duplechin1, M Nadkarni, R P Schwartz
1Department of Emergency, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
Annals of Emergency Medicine
|August 25, 1999
Abstract:
A 17-month-old black girl presented to the pediatric emergency department with sudden onset of her hands and feet "drawing up." A diagnosis of vitamin D deficiency rickets with tetany was made on a history of exclusive breast-feeding, low serum calcium, phosphorus, and 25-hydroxyvitamin D levels, and bone radiographs. Nutritional rickets should be considered in the differential diagnosis of acute hypocalcemia.