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Pediatric emergency care · Mar 2012
Case ReportsAltered mental status and hematemesis in a child with hypercalcemia.
- Margaret Wolff and Aaron Chen.
- Division of Emergency Medicine, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. wolffm@email.chop.edu
- Pediatr Emerg Care. 2012 Mar 1;28(3):286-7.
AbstractAltered mental status in a child is a potentially life-threatening condition with a broad differential including vascular, toxin-mediated, infectious, metabolic, and traumatic causes. Hypercalcemia is a rare cause of altered mental status in children. We report a case of a 13-month-old boy with familial hypocalciuric hypercalcemia who presented to our emergency department with altered mental status and hematemesis. Familial hypocalciuric hypercalcemia is a rare cause of hypercalcemia that usually presents with asymptomatic hypercalcemia. This case illustrates the presentation of severe hypercalcemia and reviews the initial management and evaluation of hypercalcemia in children.
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