Tetania secundaria a raquitismo carencial
Tetania secundaria a raquitismo carencial
La hipocalcemia es un proceso infrecuente en la edad pediátrica. En países desarrollados la incidencia de raquitismo ha disminuido de manera espectacular, aunque en los últimos años existe un resurgimiento dependiente prácticamente del fenómeno migratorio. Su etiología se debe a diferentes factores como son escasa exposición solar, inadecuada indumentaria y alimentación con pocos aportes lácteos y excesivos en fitatos, lactancia materna exclusiva y factores genéticos. Se presenta un caso clínico de un adolescente de 13 años de origen Pakistaní, q consultó por mioclonias, parestesias, mano en comadrona y asimetría en la marcha. En la analítica destaca hipocalcemia, déficit de 25(OH) D y aumento de paratohormona. La administración de calcio y vitamina D junto a la modificación de su dieta normalizaron los parámetros analíticos y la clínica. Debido al incremento de la migración, a la escasez de exposición solar e inadecuada alimentación esta enfermedad casi olvidada volverá a verse.
Déficit de vitamina D, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition::Deficiency Diseases::Avitaminosis::Vitamin D Deficiency::Rickets, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition::Deficiency Diseases::Avitaminosis::Vitamin D Deficiency, Medical Subject Headings::Diseases::Nervous System Diseases::Neurologic Manifestations::Sensation Disorders::Somatosensory Disorders::Paresthesia, Hipocalcemia, Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Calcium Compounds::Calcium, Dietary, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Calcium Metabolism Disorders::Hypocalcemia::Tetany, Raquitismo, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Calcium Metabolism Disorders::Hypocalcemia, Inmigrantes
Déficit de vitamina D, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition::Deficiency Diseases::Avitaminosis::Vitamin D Deficiency::Rickets, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition::Deficiency Diseases::Avitaminosis::Vitamin D Deficiency, Medical Subject Headings::Diseases::Nervous System Diseases::Neurologic Manifestations::Sensation Disorders::Somatosensory Disorders::Paresthesia, Hipocalcemia, Medical Subject Headings::Chemicals and Drugs::Inorganic Chemicals::Calcium Compounds::Calcium, Dietary, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Calcium Metabolism Disorders::Hypocalcemia::Tetany, Raquitismo, Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans, Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Calcium Metabolism Disorders::Hypocalcemia, Inmigrantes
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