Anzeige
Erschienen in:
28.05.2015 | Clinical Quiz
A neonate with recurrent tetany: Answers
Erschienen in: Pediatric Nephrology | Ausgabe 5/2016
Einloggen, um Zugang zu erhaltenExcerpt
1.
The assessment of serum and urine Ca++ and inorganic phosphorus (iP), serum Mg++, intact parathyroid hormone (iPTH), and 1,25(OH)2 vitamin D3 in the neonate and serum Ca++ and iP in the mother is essential.
2.
Neonatal transient hypoparathyroidism caused by maternal primary hyperparathyroidism.
3.
Abrupt cessation of placenta Ca++ transport and prolonged suppression of the fetal parathyroid glands by maternal hypercalcemia lead to the hypocalcemia.
4.
Ca++ and active vitamin D3 administration is the mainstay of treatment to normalize serum Ca++ and prevent recurrent convulsions