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Chronic hypocalcaemia

Authoring team

Commonly:

  • vitamin D deficiency - dietary lack, malabsorption, lack of sunlight
  • chronic renal disease - due to failure of renal conversion of 25 HCC to 1,25 DHCC

Less commonly:

  • hypoparathyroidism - including hypomagnesaemia
  • pseudohypoparathyroidism
  • low plasma albumin - malnutrition, liver disease

Rarely:

  • dietary lack:
    • low intake
    • binding of calcium by organic phosphates - for example, presence of phytate in chapati flour may be important in Asian people

Reference

  1. Cooper MS, Gittoes NJ. Diagnosis and management of hypocalcaemia. BMJ. 2008 Jun 7;336(7656):1298-302.

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