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KMID : 0367419930360020223
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Journal of Korean Pediatric Society
1993 Volume.36 No. 2 p.223 ~ p.231
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Childhood Infection-associated Hypocalcemia
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Abstract
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The causes of hypocalcemia in patients suffering from severe infection including sepsis are largely uncertain. So we measured serum albumin, total protein, cholesterol, PTH, and calcitonin of the infection-associated hypocalcemic children and
compared
with those of normocalcemic children suffering from tsutsugamushi disease. All had normal renal functions and had been admitted to the department of pediatrics of Gyeongsang National University Hospital. Hypocalcemic patients were
hypoalbuminemic.
Serum
total calcium was inappropriately more decreased compared to the decreased amount of serum albumin in the hypocalcemic group. We also observed more frequent incidence of hypocholesterolemia (<100mg/dL) in this group. And serum PTH was
appropriately
elevated in the hypocalcemic patients. Serum calcitonin was elevated in both groups, but 6 times higher in the hypocalcemic group than in the normocalcemic one. Serum total calcium was positively correlated with serum albumin and negatively
correlated
with serum PTH and calcitonin.
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KEYWORD
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