Pediatric hypocalcemic seizures: a case of rickets.
Although cases of Vitamin D-deficient Rickets have declined since the Industrial Revolution, certain populations remain at risk. Risk factors for developing vitamin D-deficient Rickets include breast-feeding without formula or vitamin supplementation, very dark skin and inadequate exposure to sunlight. We describe a case of Rickets in a breastfed infant with dark skin who presented with hypocalcemic seizures. The pathophysiology of Rickets is briefly described along with the emergency management of infants presenting with hypocalcemic seizure.
Bellazzini
Marc A
MA
Section of Emergency Medicine, University of Wisconsin Hospital and Clinics, Madison, WI 53792, USA.
Howes
David S
DS
D000284:Administration, Oral; D001942:Breast Feeding; D002125:Calcium Gluconate / Q000008:administration & dosage; D003951:Diagnostic Errors; D019587:Dietary Supplements; D004635:Emergency Medicine / Q000379:methods; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D007223:Infant; D007273:Injections, Intramuscular; D007275:Injections, Intravenous; D012279:Rickets / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D012640:Seizures / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D003294:Seizures, Febrile / Q000175:diagnosis; D016896:Treatment Outcome; D014807:Vitamin D / Q000008:administration & dosage / Q000097:blood
D014807:Vitamin D; D002125:Calcium Gluconate