一名患有未确诊佝偻病幼儿的低钙血症性手足搐搦

Hypocalcemic tetany in a toddler with undiagnosed rickets.

作者信息

Duplechin R Y, Nadkarni M, Schwartz R P

机构信息

Department of Emergency, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.

出版信息

Ann Emerg Med. 1999 Sep;34(3):399-402. doi: 10.1016/s0196-0644(99)70137-x.

DOI:10.1016/s0196-0644(99)70137-x

PMID:10459099

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.

摘要

一名17个月大的黑人女孩因手脚突然“抽搐”被送往儿科急诊科。根据纯母乳喂养史、低血清钙、磷和25-羟基维生素D水平以及骨骼X线片，诊断为维生素D缺乏性佝偻病伴手足搐搦症。在急性低钙血症的鉴别诊断中应考虑营养性佝偻病。