Acute stridor and wheeze as an initial manifestation of hypocalcemia in an infant

Chandrasekaran, Venkatesh; Chhavi, Nanda; Gunasekaran, Dhandapany; Soundararajan, P.

doi:10.4103/2230-8210.93781

Indian J Endocr Metab

2012

DOI: 10.4103/2230-8210.93781

|View full text |Cite

Acute stridor and wheeze as an initial manifestation of hypocalcemia in an infant

Venkatesh Chandrasekaran

Nanda Chhavi

Dhandapany Gunasekaran

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2017

2020

Publication Types

Select...

Article4

Relationship

Self Cite0

Independent4

Authors

Journals

Cited by 4 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 2 ] Our patient, probably because of the combined effects of long-term beta-agonist therapy and underlying vitamin D deficiency had undiagnosed hypocalcaemia preoperatively which could have been exacerbated intraoperatively and postoperatively because of respiratory alkalosis caused by hyperventilation. [ 3 ] Hypocalcaemia with resultant bronchospasm is a well-recognised paediatric emergency,[ 4 ] but has been rarely reported in adults. Although rare, stridor and intermittent airway obstruction due to laryngospasm resulting from hypocalcaemia have been reported in elderly patients.…”

mentioning

confidence: 99%

Hypocalcaemia-induced acute exacerbation of bronchial asthma: An unusual cause of a common disorder

et al. 2020

View full text Add to dashboard Cite

mentioning

confidence: 99%

Hypocalcaemia-induced acute exacerbation of bronchial asthma: An unusual cause of a common disorder

et al. 2020

View full text Add to dashboard Cite

Not All Stridor Is Croup

Gardner

Ruch²

2018

Pediatr Emer Care

View full text Add to dashboard Cite

Background Emergency providers often attribute stridor to croup in pediatric patients. However, even in children who are having other symptoms of a viral etiology, several other causes need to be considered. Case A 6-month-old term male without significant past medical history presented to the emergency department with stridor with likely underlying laryngospasm. He was initially ascribed the diagnosis of croup and was discharged home after receiving steroids and racemic epinephrine. However, he returned hours later after a seizure event at home. A thorough evaluation revealed an ionized calcium of 0.49 mmol/L, and further history revealed the patient was being fed a coconut water–based homemade solution for several months. He was subsequently found to have rickets and delay in milestone achievement. Awareness of hypocalcemia as a possible cause of laryngospasm is important because of the potential life-threatening effects of critically low calcium. Hypocalcemia should be included in the differential diagnosis of any child who presents with stridor, especially if lacking other symptoms of a viral illness.

show abstract

Hypocalcemic Rachitic Stridor: A Neglected Warning Sign in Infants

Ath¹

2017

Glob J Rare Dis

View full text Add to dashboard Cite

Although stridor is a common respiratory symptom associated with upper respiratory diseases, yet its relation with hypocalcemia is not widely appreciated. The mechanism of hypocalcemia in causing stridor might be a collapsing of larynx most likely caused by decalcifi cation due to hypocalcemia. Vitamin D defi ciency causes a reduction in serum calcium, which stimulates the production of extra PTH to mobilize and maintain calcium from bone and cartilage for more vital cells of the body, brain, heart and blood. Stridor might appear with upper respiratory tract infection, accordingly the role of hypocalcemia as a cause of stridor might not be recognized. Infants are born with poor vitamin D in places with high prevalence of vitamin D defi ciency due to environmental, social, customs and housing factors. Due to maternal vitamin D defi ciency, breast milk is low in vitamin D which leads to poor absorption of calcium. Stridor caused by hypocalcemia should be considered as a warning sign to prevent more serious complications as cardiomyopathy, myelofi brosis, and convulsions. In communities with high prevalence of vitamin D defi ciency checking for hypocalcemia should be part of the work up, when stridor is the presenting symptom in infants. The mechanism by which hypocalcemia causes stridor might be laryngiomalacia.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Acute stridor and wheeze as an initial manifestation of hypocalcemia in an infant

Cited by 4 publications

References 5 publications

Hypocalcaemia-induced acute exacerbation of bronchial asthma: An unusual cause of a common disorder

Hypocalcaemia-induced acute exacerbation of bronchial asthma: An unusual cause of a common disorder

Not All Stridor Is Croup

Hypocalcemic Rachitic Stridor: A Neglected Warning Sign in Infants

Contact Info

Product

Resources

About