Carpopedal spasm in a 4 year old boy with persisted vomiting and dyselectrolytemia in Wesley Guild Hospital Ilesa

Oke, Oluwasola Julius; Amoo, Kazeem Olarenwaju; Akinwumi, Ifeoluwa Alex; Fawale, Omomayowa Omotola; Adeniyi, Adewuyi Temidayo; Adeniji, Emmanuel Oluwatosin; Adetola, Hammed Hassan; Ologun, Busayo Gideon; Folarin, Oluwatobi Faith; Kuti, Dedmilade Kehinde

doi:10.11604/pamj.2019.33.43.17770

Cited by 1 publication

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“…He had electrolyte derangement with metabolic alkalosis, hypokalemia, and decreased ionized calcium. 16 In a case series by Richardson et al, tetany was caused by surreptitious vomiting leading to metabolic alkalosis, and BS was excluded by low urinary chloride level. 17 Primary hyperaldosteronism, a rarer cause of metabolic alkalosis, causes tetany in the presence of hypertension and hypokalemia.…”

Section: Tetany Presentationmentioning

confidence: 99%

Spectrum of Disorders associated with Tetany

Santra¹

2023

JAPI

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Introduction: Awareness regarding the etiological spectrum of tetany is poor among physicians. Because of poor awareness, tetany is underdiagnosed and undertreated. Materials and methods: Databases like PubMed, PubMed Central, Scopus, and Google Scholar are searched to identify peer-reviewed articles on tetany. Case reports, case series, and original articles are analyzed to identify different causes of tetany prevalent in the community. Different causes found are analyzed and tabulated, and finally, a flowchart is made on the approach for diagnosing different underlying pathologies of tetany. Results: Both metabolic and respiratory alkalosis are important causes of tetany because of reduced ionized calcium levels. Gitelman syndrome (GS) is associated with metabolic alkalosis, hypokalemia, hypomagnesemia and hypocalciuria, and frequently causes normocalcemic tetany. Recurrent vomiting and primary hyperaldosteronism also cause tetany due to metabolic alkalosis. Hyperventilation syndrome (HVS) leads to respiratory alkalosis and is a frequent cause of tetany. Hyperventilation-induced tetany is also seen after spinal anesthesia and in respiratory disorders like asthma. Vitamin D deficiency (VDD), primary hypoparathyroidism, and pseudohypoparathyroidism (PHP) (1a, 1b, and 2) cause hypocalcemic tetany. Hypomagnesemia causes hypocalcemia and tetany due to peripheral parathyroid hormone resistance and impaired parathyroid hormone secretion. Drugs causing tetany include bisphosphonates, denosumab, cisplatin, antiepileptics, aminoglycosides, diuretics, etc. Tetany is also seen in acute pancreatitis, dengue, falciparum malaria, hyperemesis gravidarum, tumor lysis syndrome (TLS), massive blood transfusion, etc. Conclusion: The spectrum of disorders associated with tetany is diverse. Awareness of different causes will help early and proper diagnosis of tetany.

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Section: Tetany Presentationmentioning

confidence: 99%

Spectrum of Disorders associated with Tetany

Santra¹

2023

JAPI

View full text Add to dashboard Cite

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Carpopedal spasm in a 4 year old boy with persisted vomiting and dyselectrolytemia in Wesley Guild Hospital Ilesa

Cited by 1 publication

References 2 publications

Spectrum of Disorders associated with Tetany

Spectrum of Disorders associated with Tetany

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