Paroxysmal strabismus and stridor acquired in childhood: Do not overlook calcemia
Hypocalcemia is known to induce stridor but was rarely reported to cause strabismus. We report the case of a 4-year-old girl who presented with paroxysmal stridor and strabismus with diplopia, persisting for several weeks. Severe hypocalcemia (1.25 mmol/L) was finally diagnosed and was related to hy...
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| Veröffentlicht in: | Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2020-02, Vol.27 (2), p.104-106 |
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| container_title | Archives de pédiatrie : organe officiel de la Société française de pédiatrie |
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| creator | Escudier, A. Giabicani, E. Neven, B. Gouache, E. Blanchard, M. Isapof, A. Nougues, M.-C. Freihuber, C. |
| description | Hypocalcemia is known to induce stridor but was rarely reported to cause strabismus. We report the case of a 4-year-old girl who presented with paroxysmal stridor and strabismus with diplopia, persisting for several weeks. Severe hypocalcemia (1.25 mmol/L) was finally diagnosed and was related to hypoparathyroidism, which was the first manifestation of autoimmune polyendocrinopathy–candidiasis–ectodermal dystrophy (APECED) in this patient. Strabismus and stridor both resolved after normalization of calcemia. This case report is a rare observation of paroxysmal strabismus caused by hypocalcemia and it highlights the importance of calcium monitoring in any situation of atypical neurological symptoms. |
| doi_str_mv | 10.1016/j.arcped.2019.12.006 |
| format | Article |
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We report the case of a 4-year-old girl who presented with paroxysmal stridor and strabismus with diplopia, persisting for several weeks. Severe hypocalcemia (1.25 mmol/L) was finally diagnosed and was related to hypoparathyroidism, which was the first manifestation of autoimmune polyendocrinopathy–candidiasis–ectodermal dystrophy (APECED) in this patient. Strabismus and stridor both resolved after normalization of calcemia. This case report is a rare observation of paroxysmal strabismus caused by hypocalcemia and it highlights the importance of calcium monitoring in any situation of atypical neurological symptoms.</description><identifier>ISSN: 0929-693X</identifier><identifier>EISSN: 1769-664X</identifier><identifier>DOI: 10.1016/j.arcped.2019.12.006</identifier><identifier>PMID: 31955955</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>APECED ; Diplopia ; Hypocalcemia ; Hypoparathyroidism ; Life Sciences ; Ophthalmoparesis ; Strabismus ; Stridor ; Vocal cord paresis</subject><ispartof>Archives de pédiatrie : organe officiel de la Société française de pédiatrie, 2020-02, Vol.27 (2), p.104-106</ispartof><rights>2020 French Society of Pediatrics</rights><rights>Copyright © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. 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We report the case of a 4-year-old girl who presented with paroxysmal stridor and strabismus with diplopia, persisting for several weeks. Severe hypocalcemia (1.25 mmol/L) was finally diagnosed and was related to hypoparathyroidism, which was the first manifestation of autoimmune polyendocrinopathy–candidiasis–ectodermal dystrophy (APECED) in this patient. Strabismus and stridor both resolved after normalization of calcemia. This case report is a rare observation of paroxysmal strabismus caused by hypocalcemia and it highlights the importance of calcium monitoring in any situation of atypical neurological symptoms.</description><subject>APECED</subject><subject>Diplopia</subject><subject>Hypocalcemia</subject><subject>Hypoparathyroidism</subject><subject>Life Sciences</subject><subject>Ophthalmoparesis</subject><subject>Strabismus</subject><subject>Stridor</subject><subject>Vocal cord paresis</subject><issn>0929-693X</issn><issn>1769-664X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kE1r3DAQhkVJaTZp_0EJOiaHdfVl2cohsKRpU1hICgnkJmRpzGpjWxvJXpp_Xy1OeiwIRiM98w48CH2lpKCEym_bwkS7A1cwQlVBWUGI_IAWtJJqKaV4OkILoli-K_50jE5S2hJCalLzT-iYU1WW-SzQ73sTw5_X1JsOpzGaxqd-StgM7tB6FyI29mXyERz2A7Yb37lNCO4Sfw94CCMOe4hdCM_Yms5C781n9LE1XYIvb_UUPf64ebi-Xa7vfv66Xq2XVgg2LlvelLJhUrQgnBIEGgBBGkmsJBJYxVqgzEBdVVZYB7zMxVAOljMubMn4KbqYczem07voexNfdTBe367W-vBGuKhVXak9zez5zO5ieJkgjbr3yULXmQHClHSOZLxUipGMihm1MaQUof2XTYk-iNdbPYvXB_GaMp3F57Gztw1T0-e_96F30xm4mgHITvYeok7Ww2DBZbd21C74_2_4C9B1lkg</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Escudier, A.</creator><creator>Giabicani, E.</creator><creator>Neven, B.</creator><creator>Gouache, E.</creator><creator>Blanchard, M.</creator><creator>Isapof, A.</creator><creator>Nougues, M.-C.</creator><creator>Freihuber, C.</creator><general>Elsevier Masson SAS</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope></search><sort><creationdate>20200201</creationdate><title>Paroxysmal strabismus and stridor acquired in childhood: Do not overlook calcemia</title><author>Escudier, A. ; Giabicani, E. ; Neven, B. ; Gouache, E. ; Blanchard, M. ; Isapof, A. ; Nougues, M.-C. ; Freihuber, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-f3b56b264fe4d940ebee40b60c606e272fe12ae877c4cde35c4ca13ec3234c523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>APECED</topic><topic>Diplopia</topic><topic>Hypocalcemia</topic><topic>Hypoparathyroidism</topic><topic>Life Sciences</topic><topic>Ophthalmoparesis</topic><topic>Strabismus</topic><topic>Stridor</topic><topic>Vocal cord paresis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Escudier, A.</creatorcontrib><creatorcontrib>Giabicani, E.</creatorcontrib><creatorcontrib>Neven, B.</creatorcontrib><creatorcontrib>Gouache, E.</creatorcontrib><creatorcontrib>Blanchard, M.</creatorcontrib><creatorcontrib>Isapof, A.</creatorcontrib><creatorcontrib>Nougues, M.-C.</creatorcontrib><creatorcontrib>Freihuber, C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Archives de pédiatrie : organe officiel de la Société française de pédiatrie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Escudier, A.</au><au>Giabicani, E.</au><au>Neven, B.</au><au>Gouache, E.</au><au>Blanchard, M.</au><au>Isapof, A.</au><au>Nougues, M.-C.</au><au>Freihuber, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paroxysmal strabismus and stridor acquired in childhood: Do not overlook calcemia</atitle><jtitle>Archives de pédiatrie : organe officiel de la Société française de pédiatrie</jtitle><addtitle>Arch Pediatr</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>27</volume><issue>2</issue><spage>104</spage><epage>106</epage><pages>104-106</pages><issn>0929-693X</issn><eissn>1769-664X</eissn><abstract>Hypocalcemia is known to induce stridor but was rarely reported to cause strabismus. 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| ispartof | Archives de pédiatrie : organe officiel de la Société française de pédiatrie, 2020-02, Vol.27 (2), p.104-106 |
| issn | 0929-693X 1769-664X |
| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | APECED Diplopia Hypocalcemia Hypoparathyroidism Life Sciences Ophthalmoparesis Strabismus Stridor Vocal cord paresis |
| title | Paroxysmal strabismus and stridor acquired in childhood: Do not overlook calcemia |
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