Skip to main navigation Skip to search Skip to main content

The patient whose hypocalcaemia worsened after prompt intravenous calcium replacement therapy

  • Piero Stratta
  • , Giorgio Soragna
  • , Veronica Morellini
  • , Massimo Gai
  • , Daria Motta
  • , Elisa Lazzarich
  • , Maddalena Brustia
  • , Marco Quaglia
  • , Caterina Canavese

Research output: Contribution to journalComment/debate

Abstract

As a junior in the emergency department, I saw a 30-year-old man with severe numbness, tingling in the fingers and toes and perioral area, muscle cramps, and tetany; he had chronic hypoparathyroidism, due to thyroidectomy, which was being treated with oral replacement of thyroid hormones, calcium, and vitamin D. He had been unable to take his regular treatment over the past few weeks because of gastroenteritis. Blood tests showed a low total calcium of 1·125 mmol/L (free ionised portion 0·51 mmo ...
Original languageEnglish
Pages (from-to)273
Number of pages1
JournalThe Lancet
Volume367
Issue number9506
DOIs
Publication statusPublished - 21 Jan 2006

Cite this