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Hypocalcemia in Infancy.

Journal of the Korean Pediatric Society 1978;21(12):1138-1146.
Published online December 31, 1978.
Hypocalcemia in Infancy.
Hee Sook Kim, Byung Kil Cheun, Ji Sub Oh, Chin Moo Kang
Department of Pediatrics, Presbyterian Hospital Daegu, Korea.
유아의 저칼시움혈증
김희숙, 전병길, 오지섭, 강진무
대구동산기독병원 소아과
Abstract
23 cases of infantile hypocalcemia which were admitted to the pediatric department of Daegy Presbyterian Hospital during the past 2 years from August 1975 throght July 1977 were clinically evaluated. The results were as follows: 1) The age distribution was ranging from one day to six months with 19 cases(82.6%) of newborn under the 1 month of age and sex incidence revealed male predominance with male to female ratio about 1.5:1 2) 14 cases (60.9%) were fed artificially, 7 cases (30.4%) with breast milk and 2 cases (8.7%) with mixed feeding. 3) Out of 9 cases of which birth weigh were known, 7 cases had low birth weight. 4) In all cases serum calcium was below 8mg% and 12 cases (52.1%) had 6~7mg% of serum calcium. 5) In all cases, the serum phosphorus was above 4 mg% and 16 cases (69.6%) had serum phosphorus above 6mg%. 6) The cardinal symptoms and signs in order of frequency were convulsion (69.5%), poor feeding(47.8%), irritability (34.8%), hypotonicity (21.7%). There was no significant differences in clinical symptoms for early and late neonatal hypocalcemia. 7) 8 cases (33.3%) were complicated with infections. 8) All cases were recovered after receiving calcium therapy. 19 cases (90.5%) had regained normal serum calcium level within 4 weeks after initiation of calcium therapy.


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