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Other Titles
 Hypocalcemic Tetany in a 13-Year-Old Girl with Wilson's Disease 
Authors
 라채익  ;  김상용  ;  고 홍 
Citation
 Korean Journal of Pediatric Gastroenterology and Nutrition (대한소아소화기영양학회지), Vol.14(1) : 86-90, 2011 
Journal Title
Korean Journal of Pediatric Gastroenterology and Nutrition(대한소아소화기영양학회지)
ISSN
 1229-0114 
Issue Date
2011
Keywords
Wilson’s disease ; Hypoparathyroidism ; Hypocalcemic tetany ; Vitamin D deficiency
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.
Files in This Item:
T201103379.pdf Download
DOI
10.5223/kjpgn.2011.14.1.86
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Hong(고홍) ORCID logo https://orcid.org/0000-0002-3660-7483
Kim, Sang Yong(김상용)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94256
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