“… 5 Severe hypocalcaemia can cause neuromuscular irritability and bronchospasm which can mimic an exacerbation of bronchial asthma. [ 1 ] Pain, anxiety and surgical stress can exacerbate bronchial asthma, but our patient was pain free. Symptomatic hypocalcaemia commonly occurs with a serum ionised calcium below 1.1 mmmol/L.…”