Belgian Journal of Paediatrics
Severe persistent hypocalcemia occurring despite vitamin D and calcium supplementation in children with symptomatic vitamin D deficiency
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Keywords

Hypocalcemia
Vitamin D
vitamin D deficiency
treatment
child

Categories

How to Cite

Lombard, J., Biarent , D., & Michez , D. (2023). Severe persistent hypocalcemia occurring despite vitamin D and calcium supplementation in children with symptomatic vitamin D deficiency . Belgian Journal of Paediatrics, 25(3), 180–183. Retrieved from http://www.belgjpaediatrics.com/index.php/bjp/article/view/55

Abstract

This article describes two cases of severe persistent hypocalcemia occurring despite vitamin D and calcium supplementation in children with symptomatic vitamin D deficiency. We compared these cases with hungry bone syndrome (HBS) occurring after parathyroidectomy. Studies of hypocalcemia due to vitamin D deficiency suggest a potential risk of hungry bone (HB)-like syndrome if calcium treatment is inadequate at the start of vitamin D supplementation. This article highlights the pitfalls of hypocalcemia management. Hypocalcemia should be actively treated with calcium boluses and continuous infusion to avoid the possibility of HB-like syndrome.

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