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Case Reports
. 2017 Jan-Apr;14(1):89-91.
doi: 10.11138/ccmbm/2017.14.1.089. Epub 2017 May 30.

Is this a seizure?

Giulio Franceschet  1 , Marta Mazzucato  1 , Simona Censi  1 , Stefano Simmini  1 , Marco Boscaro  1 , Valentina Camozzi  1
Affiliations
Case Reports

Is this a seizure?

Giulio Franceschet et al. Clin Cases Miner Bone Metab. 2017 Jan-Apr.

Abstract

We describe a case of a 65-year-old woman admitted to the hospital for suspected of epileptic crisis. She was affected by diabetes and hiatal hernia for which she was taking Proton Pump Inhibitors (PPIs) for about 8 years. She showed hypocalcaemia, hypomagnesaemia, hyperparathyroidism and severe hypovitaminosis D. We exclude malabsorption and magnesium loss. After restored vitamin D levels, stopped use of PPI, start calcium and magnesium supplementation normal values of the ions were restored. This case underlies the importance of evaluate magnesium routinely, other than calcium and vitamin D, and use PPI more carefully.

Keywords: hypocalcaemia; hypoparathyroidism; magnesium; protom pump inhibitors.

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Figures

Figure 1
Figure 1
Serum Parathyroid (PTH), Calcium (Ca) and Magnesium (Mg) in our case, the dotted line indicate the switch from PPI to H2RA and from furosemide to amiloride.
See this image and copyright information in PMC

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