Fernández Martínez M del M, Gómez Llorente J L, Martín González M, Momblan de Cabo J, Bonillo Perales A
Complejo Hospitalario Torrecardenas, Almería, España.
Nutr Hosp. 2012 Mar-Apr;27(2):656-8. doi: 10.1590/S0212-16112012000200045.
Hypocalcemia is an uncommon illness in children. In developed countries the incidence of rickets has decreased significantly, although last years this pathology is increasing at the expense of immigration. Its etiology is due to different factors such as low sun exposure, inadequate clothing and bad feeding and excessive contributions in phytates, exclusive breastfeeding and genetic factors. We report a case of a teenager 13 year old from Pakistan, who consulted for myoclonus, paresthesias, hand midwife and asymmetry walking. The laboratory emphasizes hypocalcemia deficit of 25 (OH) D and increased parathyroid hormone. Administration of calcium and vitamin D along with changes in his diet normalized clinical and laboratory parameters. Due to increased migration, the lack of sun exposure and inadequate supply this disease which was almost forgotten will appear another time.
低钙血症在儿童中是一种罕见疾病。在发达国家，佝偻病的发病率已显著下降，尽管近年来这种病症因移民因素呈上升趋势。其病因归因于多种因素，如日照不足、着装不当、喂养不良以及植酸盐摄入过多、纯母乳喂养和遗传因素等。我们报告一例来自巴基斯坦的13岁青少年病例，该患者因肌阵挛、感觉异常、助产士手和行走不对称前来就诊。实验室检查显示低钙血症、25（OH）D缺乏以及甲状旁腺激素升高。给予钙和维生素D并调整饮食后，临床和实验室指标恢复正常。由于移民增加、日照不足和供应不充分，这种几乎被遗忘的疾病可能会再次出现。
