Persistent hypocalcemia: an interesting maze!!


  • Jinela Desouza Department of Pediatrics, Dr D.Y. Patil Hospital and Research Institute, Kolhapur, Maharashtra, India
  • Anees U. P. Department of Pediatrics, Dr D.Y. Patil Hospital and Research Institute, Kolhapur, Maharashtra, India
  • Mohan Patil Department of Pediatrics, Dr D.Y. Patil Hospital and Research Institute, Kolhapur, Maharashtra, India



Hypocalcemia, Hypoparathyroidism, Convulsions


A 2 months old child was brought with c/o arching of back and fisting present since day 15 of life, which was increased during feeding and h/o not gaining weight since birth. They were evaluated at a local doctor where the child was started on calcium syrup and the child is taking the medications for 1 month. Despite the treatment, the child was still having the similar complaints. Now the child has been brought to the hospital with multiple episodes of breath-holding spells, convulsions, and not feeding well, with significant weight loss and lethargic. After clinical evaluation, various laboratory investigations were carried out which led us to even better diagnosis. The blood calcium levels were found to be persistently low. We did multiple investigations, keeping the physiology of calcium and vitamin D metabolism in mind and arrived at a conclusion.


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