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therefore characterised by hypocalcaemia and hyperphosphatemia. The standard treatment for HPT is with active vitamin D (calcitriol (1,25(OH 2 )D)) or its analogue (alfacalcidol (ACD; 1-hydroxycholecalciferol)) and ensuring adequate oral Ca intake (through
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Introduction Acute hypocalcaemia can be life threatening, necessitating urgent treatment. In severe cases, intravenous calcium forms the mainstay of initial therapy, but it is essential to ascertain the underlying cause and commence specific
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In this addendum to the above paper, the Society for Endocrinology Clinical Committee and the original authors provide additional advice on the dose equivalence of calcium gluconate and calcium chloride. The ‘Severe hypocalcaemia’ section
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Introduction Heritable hypoparathyroidism (HPT) is a genetically heterogeneous disease, characterized biochemically by hypocalcaemia, hyperphosphatemia, low plasma parathyroid hormone (PTH) concentrations and inappropriately normal or high
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-specialist clinicians and delay the appropriate treatment of this common and potentially life-threatening condition. Acute hypocalcaemia ( 5 ) and hypercalcaemia ( 6 ): disorders of calcium regulation are the second most common electrolyte disorder requiring endocrine
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calcifications ( 7 ). Finally, hypoPT results in a longer hospital stay ( 8 ) after TT. The frequency of postoperative hypocalcaemia and/or hypoPT after TT varies significantly in the literature. This variation is thought to be at least partly due to
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Department of Medical Genetics, Cambridge University, Cambridge, UK
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.42 mmol/L ± 0.20 mmol/L and PO 1.22 mmol/L ± 0.25 mmol/L. There were two cases of post-operative hypocalcaemia amongst this subgroup; one patient taking cinacalcet 90 mg/day (highest dose in our cohort) required i.v. calcium and remained an inpatient for
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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years, respectively, and the LS dose ranged from 225 to 1708 mg. Thyroidectomy was uneventful in all 26 patients who underwent operation. However, 7 patients (27%) developed temporary post-operative hypocalcaemia, treated with alfacalcidol and calcium
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Pamidronate 30–90 mg (depending on severity of hypercalcaemia) at 20 mg/h OR Ibandronic acid 2–4 mg Give more slowly and consider dose reduction in renal impairment Monitor serum calcium response: will reach nadir at 2–4 days Can cause hypocalcaemia
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Department of Emergency Medicine, CHU Nantes, Nantes, France
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Turner J Gittoes N Selby P & Society for Endocrinology Clinical Committee . SOCIETY FOR ENDOCRINOLOGY ENDOCRINE EMERGENCY GUIDANCE: Emergency management of acute hypocalcaemia in adult patients . Endocrine Connections 2016 5 7 – 8 . ( https