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Ann Emerg Med. 1999 Sep;34(3):399-402.

Hypocalcemic tetany in a toddler with undiagnosed rickets.

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Department of Emergency, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.


A 17-month-old black girl presented to the pediatric emergency department with sudden onset of her hands and feet "drawing up." A diagnosis of vitamin D deficiency rickets with tetany was made on a history of exclusive breast-feeding, low serum calcium, phosphorus, and 25-hydroxyvitamin D levels, and bone radiographs. Nutritional rickets should be considered in the differential diagnosis of acute hypocalcemia.

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