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Severe Symptomatic Hypocalcemia from HIV Related Hypoparathyroidism
Joint Authors
Batra, Manav
Makdissi, Antoine
Chaudhuri, Ajay
Sandhu, Sartaj
Desai, Akshata
Girdhar, Robin
Chatterjee, Kaushik
Kemp, Elizabeth Helen
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report the case of a 54-year-old Caucasian female who presented with a two-year history of persistent hypocalcemia requiring multiple hospitalizations.
Her medical history was significant for HIV diagnosed four years ago.
She denied any history of prior neck surgery or radiation.
Her vital signs were stable with an unremarkable physical exam.
Pertinent medications included calcium carbonate, vitamin D3, calcitriol, efavirenz, emtricitabine, tenofovir disoproxil, hydrochlorothiazide, and inhaled budesonide/formoterol.
Laboratory testing showed total calcium of 5.7 mg/dL (normal range: 8.4-10.2 mg/dL), ionized calcium of 2.7 mg/dL (normal range: 4.5-5.5 mg/dL), serum phosphate of 6.3 mg/dL (normal range: 2.7-4.5 mg/dL), and intact PTH of 7.6 pg/mL (normal range: 15-65 pg/mL).
She was diagnosed with primary hypoparathyroidism.
Anti-calcium-sensing receptor antibodies and NALP5 antibodies were tested and found to be negative.
During subsequent clinic visits, doses of calcium supplements and calcitriol were titrated.
Last corrected serum calcium level was 9.18 mg/dL.
She was subsequently lost to follow-up.
This case gives insight into severe symptomatic hypocalcemia from primary hypoparathyroidism attributed to HIV infection.
We suggest that calcium levels should be closely monitored in patients with HIV infection.
American Psychological Association (APA)
Sandhu, Sartaj& Desai, Akshata& Batra, Manav& Girdhar, Robin& Chatterjee, Kaushik& Kemp, Elizabeth Helen…[et al.]. 2018. Severe Symptomatic Hypocalcemia from HIV Related Hypoparathyroidism. Case Reports in Endocrinology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143065
Modern Language Association (MLA)
Sandhu, Sartaj…[et al.]. Severe Symptomatic Hypocalcemia from HIV Related Hypoparathyroidism. Case Reports in Endocrinology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143065
American Medical Association (AMA)
Sandhu, Sartaj& Desai, Akshata& Batra, Manav& Girdhar, Robin& Chatterjee, Kaushik& Kemp, Elizabeth Helen…[et al.]. Severe Symptomatic Hypocalcemia from HIV Related Hypoparathyroidism. Case Reports in Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143065
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143065