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Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis

Received: 11 May 2017     Accepted: 8 September 2017     Published: 1 November 2017
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Abstract

The differential diagnosis of stridor in the pediatric population is broad and should include hypocalcaemia with resultant laryngospasm. We present the case of a 10-year-old Tunisian girl, with no particular family or personal history, who presented with stridor secondary to profound hypocalcaemia. The diagnosis of acute pancreatitis was made after dosing systematically pancreatic amylases for elevation of blood sugar and glucosuria. Necrotizing pancreatitis was confirmed by abdominal CT scan.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 3, Issue 6)
DOI 10.11648/j.ijbecs.20170306.11
Page(s) 78-80
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Stridor, Hypocalcaemia, Necrotizing pancreatitis, Child

References
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[2] Lopez M J. The changing incidence of acute pancreatitis in children: a single- institution perspective. J Pediatr 2002, 140: 622-624.
[3] Park A J, Latif S U, Ahmad M U, Bultron G, Orabi AI, Bhandari V, et al. A comparison of presentation and management trends in acute pancreatitis between infants/toddlers and older children. J Pediatr Gastroenterol Nutr 2010, 51: 167-170.
[4] Baron T H, Morgan D E. Acute necrotizing pancreatitis. N Engl J Med 1999, 340: 1412-1417.
[5] Whitcomb D C, Lowe ME. Pancreatitis: acute and chronic. In: Kleinman RE, Sanderson IR, Goulet O, et al., eds. Walker’s pediatric gastrointestinal disease. Hamilton (ON): B C Decker Inc; 2008, 1213-1220.
[6] Husain SZ, Srinath AI. What's unique about acute pancreatitis in children: risk factors, diagnosis and management. Nat Rev Gastroenterol Hepatol. 2017 Mar 15. doi: 10.1038/nrgastro.2017.13.
[7] Peng T, Peng X, Huang M, Cui J, Zhang Y, Wu H, Wang C. Serum calcium as an indicator of persistent organ failure in acute pancreatitis. Am J Emerg Med. Doi: 10.1016/j. ajem. 2017.02.006.
[8] Condon J R, Ives D, Knight M J, Day J. The aetiology of hypocalcaemia in acute pancreatitis. Br J Surg 1975; 62: 115 8.
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[12] Vandana S. Raman, M D, Robert W. Loar, Venkat S. Renukuntla, MBBS, MPH, Krishna V. Hassan, MD, Douglas S. Fishman, MD, Mark A. Gilger, MD, and Rubina A. Heptulla, MD Hyperglycemia and Diabetes Mellitus in Children with Pancreatitis. J Pediatr 2011, 158: 612- 616.
[13] Qader SS, Ekelund M, Andersson R, Obermuller S, Salehi A. Acute pancreatitis, expression of inducible nitric oxide synthase and defective insulin secretion. Cell Tissue Res 2003, 313: 271-279.
[14] Merkle E M, Görich J. Imaging of acute pancreatitis. Eur Radiol 2002; 12: 1979–1992.
[15] Bennett G L, Hann LE. Pancreatic ultrasonography. Surg Clin North Am 2001; 81(2): 259–81.
[16] Bollen T L. Acute pancreatitis: international classification and nomenclature. Clin Radiol 2016; 71(2): 121-133.
[17] Thoeni R F. The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment. Radiology, 2012; 262(3): 751-764.
[18] UK Working Party on Acute Pancreatitis. UK guidelines for the management of acute pancreatitis. Gut 2005, 54 (Suppl 3): 1-9.
[19] Loveday B P, Srinivasa S, Vather R, et al. High quantity and variable quality of guidelines for acute pancreatitis: a systematic review. Am J Gastroenterol 2010; 105: 1466-76.
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Cite This Article
  • APA Style

    Naouel Guirat-Dhouib, Fatma Derbali, Afifa Charfi, Lobna Aissa, Zohra Sassi, et al. (2017). Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis. International Journal of Biomedical Engineering and Clinical Science, 3(6), 78-80. https://doi.org/10.11648/j.ijbecs.20170306.11

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    ACS Style

    Naouel Guirat-Dhouib; Fatma Derbali; Afifa Charfi; Lobna Aissa; Zohra Sassi, et al. Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis. Int. J. Biomed. Eng. Clin. Sci. 2017, 3(6), 78-80. doi: 10.11648/j.ijbecs.20170306.11

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    AMA Style

    Naouel Guirat-Dhouib, Fatma Derbali, Afifa Charfi, Lobna Aissa, Zohra Sassi, et al. Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis. Int J Biomed Eng Clin Sci. 2017;3(6):78-80. doi: 10.11648/j.ijbecs.20170306.11

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  • @article{10.11648/j.ijbecs.20170306.11,
      author = {Naouel Guirat-Dhouib and Fatma Derbali and Afifa Charfi and Lobna Aissa and Zohra Sassi and Hammouda Taieb and Ezzeddine Chouaibi},
      title = {Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {3},
      number = {6},
      pages = {78-80},
      doi = {10.11648/j.ijbecs.20170306.11},
      url = {https://doi.org/10.11648/j.ijbecs.20170306.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20170306.11},
      abstract = {The differential diagnosis of stridor in the pediatric population is broad and should include hypocalcaemia with resultant laryngospasm. We present the case of a 10-year-old Tunisian girl, with no particular family or personal history, who presented with stridor secondary to profound hypocalcaemia. The diagnosis of acute pancreatitis was made after dosing systematically pancreatic amylases for elevation of blood sugar and glucosuria. Necrotizing pancreatitis was confirmed by abdominal CT scan.},
     year = {2017}
    }
    

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    T1  - Hypocalcaemia and Stridor: An Unusual Presentation of Acute Necrotizing Pancreatitis
    AU  - Naouel Guirat-Dhouib
    AU  - Fatma Derbali
    AU  - Afifa Charfi
    AU  - Lobna Aissa
    AU  - Zohra Sassi
    AU  - Hammouda Taieb
    AU  - Ezzeddine Chouaibi
    Y1  - 2017/11/01
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    DO  - 10.11648/j.ijbecs.20170306.11
    T2  - International Journal of Biomedical Engineering and Clinical Science
    JF  - International Journal of Biomedical Engineering and Clinical Science
    JO  - International Journal of Biomedical Engineering and Clinical Science
    SP  - 78
    EP  - 80
    PB  - Science Publishing Group
    SN  - 2472-1301
    UR  - https://doi.org/10.11648/j.ijbecs.20170306.11
    AB  - The differential diagnosis of stridor in the pediatric population is broad and should include hypocalcaemia with resultant laryngospasm. We present the case of a 10-year-old Tunisian girl, with no particular family or personal history, who presented with stridor secondary to profound hypocalcaemia. The diagnosis of acute pancreatitis was made after dosing systematically pancreatic amylases for elevation of blood sugar and glucosuria. Necrotizing pancreatitis was confirmed by abdominal CT scan.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Department of Pediatrics, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

  • Internal Medicine Department, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

  • Department of Otolaryngology, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

  • Intensive Care Unit, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

  • Nephrology Department, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

  • Department of Pediatrics, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

  • Department of Pediatrics, Regional Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia

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