Paget's disease is a relatively rare disorder of the bone with only a few reports and case series observations from India. Hypocalcaemia is rare in Paget's disease, usually occurring as a consequence of therapy with bisphosphonates. We report a 65-year-old woman with Paget's disease who had hypocalcaemia secondary to vitamin D deficiency. On further evaluation, she also had severe osteoporosis....

Hypocalcaemia due to hypoparathyroidism following thyroidectomy is a relatively common occurrence. Standard treatment is with oral calcium and vitamin D replacement therapy; lack of response to oral therapy is rare. Herein we describe a case of hypoparathyroidism following thyroidectomy unresponsive to oral therapy in a patient with a complex medical history. We consider the potential causes in...

We report a 29 year old female with mild dysmorphic facial features, presenting with late onset symptomatic hypocalcaemia in adulthood. The presence of hypoparathyroidism in association with a history of transient neonatal hypocalcaemia and velopharyngeal incompetence during childhood, prompted chromosomal analysis for DiGeorge Syndrome. Fluorescence in situ hybridisation (FISH) analysis reveal...

Chvostek's sign (CS) was investigated in 154 patients with seizures (epilepsy, n = 91; non-epileptic event, n = 41; febrile convulsion, n = 19; hypocalcaemic seizure, n = 3). Patients with febrile convulsions or non-epileptic seizures had either negative or mild CS. Marked CS was only found among those with the diagnosis of epilepsy or hypocalcaemia. Normocalcaemic patients had no other signs o...

Familial isolated hypoparathyroidism (FIH) is a rare group of genetic disorder associated with dysregulation parathyroid hormonal axis characterized by refractory hypocalcaemia. Herein we report 1 month 4 days old baby born out consanguineous marriage presented respiratory distress single episode convulsion, cause pointing towards The hypocalcaemia symptoms were despite repeated calcium glucona...

Pseudo hypoparathyroidism is a hereditary disorder characterized by symptoms and signs of hypoparathyroidism, typically in association with distinctive skeletal developmental defects. The due to deficient end organ response parathyroid hormone. We describe 26-year-old woman who has typical features Albright's osteodystrophy. Which include round face, short neck stature brachydactyly. Laboratory...

AIM To determine the incidence of hypocalcaemia in critically ill children with meningococcal disease. METHODS In a prospective cohort study, 70 of 80 patients admitted consecutively with a clinical diagnosis of meningococcal disease to intensive care had measurements of total and ionised calcium on admission. Parathormone and calcitonin were measured in a proportion of the children. RESULT...