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A Framework for Approaching Refractory Hypocalcemia in Children
Insights
Hypocalcemia, a dangerous electrolyte imbalance, can cause seizures and heart issues. Recognizing its varied presentations and causes is crucial for effective treatment, especially in children affecting bone health.
Area of Science:
- Pediatric Endocrinology
- Internal Medicine
- Clinical Diagnostics
Background:
- Hypocalcemia is a critical electrolyte disorder with severe health implications.
- Complications include seizures, tetany, cardiac dysfunction (QT prolongation, cardiomyopathy, heart failure).
- In pediatric populations, chronic hypocalcemia impairs bone development and health.
Abstract:
Hypocalcemia is a potentially fatal electrolyte imbalance with complications that include seizures, tetany, prolonged QT interval, cardiomyopathy, and congestive heart failure. In chi dren, persistent hypocalcemia can also be detrimental to bone growth and health. Therefore, it is important to recognize the many ways this electrolyte imbalance may present and determine its etiology. This article provides a framework for assessing hypocalcemia and describes in detail a case with a rare cause of refractory hypocalcemia. [Pediatr Ann. 2019;48(5):e208-e211.].
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