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저칼슘테타니가 발생한 윌슨병 1예

Title
저칼슘테타니가 발생한 윌슨병 1예
Other Titles
Hypocalcemic Tetany in a 13-Year-Old Girl with Wilson's Disease
Authors
라채익;김상용;고 홍
Issue Date
2011
Journal Title
Korean Journal of Pediatric Gastroenterology and Nutrition (대한소아소화기영양학회지)
ISSN
1229-0114
Citation
Korean Journal of Pediatric Gastroenterology and Nutrition (대한소아소화기영양학회지), Vol.14(1) : 86~90, 2011
Abstract
Wilson's disease is an autosomal recessive disorder marked by disruptions in copper metabolism which leads to accumulation of copper in the liver, brain, cornea, and other tissues. Manifestations of this disease are more likely to be hepatic during early childhood and neurologic in adolescent. In addition, abnormalities that develop during disease progression may result in other manifestations such as hematologic, endocrine, or renal findings. Here we report a 13-year-old girl who presented with hypocalcemic tetany shortly after being diagnosed with Wilson's disease. Despite aggressive calcium, magnesium, and vitamin D replacement therapy, the hypocalcemia and hypomagnesemia did not promptly respond. Mineral levels in the blood took longer than 3 weeks to normalize. We speculate that a parathyroid insufficiency and disrupted vitamin D metabolism caused by copper accumulation and hepatic dysfunction resulted in hypocalcemic tetany.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/94256
DOI
10.5223/kjpgn.2011.14.1.86
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Pediatrics
Yonsei Authors
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