Paroxysmal strabismus and stridor acquired in childhood: Do not overlook calcemia!

Child, Preschool Female Humans Hypocalcemia / etiology Polyendocrinopathies, Autoimmune / diagnosis Respiratory Sounds / etiology Strabismus / etiology
APECED Diplopia Hypocalcemia Hypoparathyroidism Ophthalmoparesis Strabismus Stridor Vocal cord paresis

Journal

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
ISSN: 1769-664X
Titre abrégé: Arch Pediatr
Pays: France
ID NLM: 9421356

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 09 02 2019
accepted: 30 12 2019
pubmed: 21 1 2020
medline: 25 11 2020
entrez: 21 1 2020
Statut: ppublish

Résumé

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.

Identifiants

DOI: 10.1016/j.arcped.2019.12.006 PMID: 31955955
pubmed: 31955955
pii: S0929-693X(19)30231-3
doi: 10.1016/j.arcped.2019.12.006
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104-106

Informations de copyright

Copyright © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.

Auteurs

A Escudier (A)

Service de Neurologie Pédiatrique, AP-HP, GHUEP, Hôpital Armand Trousseau, 75012 Paris, France. Electronic address: agathe.escudier@gmail.com.

E Giabicani (E)

Hôpitaux de Paris (APHP), Hôpital Armand Trousseau, Explorations Fonctionnelles Endocriniennes, 75012 Paris, France; Sorbonne Université, Inserm, UMR_S 938 Centre de Recherche Saint Antoine, Assistance Publique, 75012 Paris, France.

B Neven (B)

Service d'Immuno-Hématologie, APHP, Hôpital Necker-Enfants malades, 75015 Paris, France; Sorbonne Paris Cité, Institut Imagine, Université Paris Descartes, 75015 Paris, France.

E Gouache (E)

Service d'Hématologie Pédiatrique, AP-HP, GHUEP, Hôpital Armand Trousseau, 75012 Paris, France.

M Blanchard (M)

Service d'Oto-Rhino-Laryngologie, AP-HP, Hôpital Necker-Enfants malades, 75015 Paris, France.

A Isapof (A)

Service de Neurologie Pédiatrique, AP-HP, GHUEP, Hôpital Armand Trousseau, 75012 Paris, France; Service de Neuropédiatrie et Centre de Référence des Pathologies Neuromusculaires "Nord/Est/Ile-de-France", GRC ConCer-LD, Sorbonne Universités, UPMC Univ Paris 06, Hôpital Trousseau, AP-HP, FILNEMUS, 75012 Paris.

M-C Nougues (MC)

Service de Neurologie Pédiatrique, AP-HP, GHUEP, Hôpital Armand Trousseau, 75012 Paris, France; Service de Neuropédiatrie et Centre de Référence des Pathologies Neuromusculaires "Nord/Est/Ile-de-France", GRC ConCer-LD, Sorbonne Universités, UPMC Univ Paris 06, Hôpital Trousseau, AP-HP, FILNEMUS, 75012 Paris.

C Freihuber (C)

Service de Neurologie Pédiatrique, AP-HP, GHUEP, Hôpital Armand Trousseau, 75012 Paris, France; Sorbonne Université, GRC ConCer-LD, Hôpital Armand Trousseau, 75012, Paris, France.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Enfant d'âge préscolaire › Paroxysmal strabismus and stridor acquired in...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Paroxysmal strabismus and stridor acquired in...
questionsmedicales.fr › Maladies métaboliques et nutritionnelles › Maladies métaboliques › Troubles de l'équilibre hydroélectrolytique › Hypocalcémie › Paroxysmal strabismus and stridor acquired in...
questionsmedicales.fr › Maladies du système immunitaire › Maladies auto-immunes › Polyendocrinopathies auto-immunes › Paroxysmal strabismus and stridor acquired in...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques respiratoires › Bruits respiratoires › Paroxysmal strabismus and stridor acquired in...
questionsmedicales.fr › Maladies de l'oeil › Troubles de la motilité oculaire › Strabisme › Paroxysmal strabismus and stridor acquired in...