We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Late-Onset Neonatal Hypocalcemic Tetany

Am J Dis Child. 1986;140(2):92. doi:10.1001/archpedi.1986.02140160010014.
Text Size: A A A
Published online

Sir.—I read with interest the recent article by Venkataraman et al.1 In January 1985, I encountered a similar patient who developed late-onset hypocalcemia, hyperphosphatemia, and tetany and who responded well to calcium supplementation and a change to a low-phosphate formula (Ross PM 60/40).

Patient Report.—The patient was born to a gravida 4, para 4 mother following a pregnancy complicated by gestational diabetes. Her birth weight was 4.9 kg, and length was 54.5 cm (both greater than the 95th percentile). She was fed a humanized cow milk formula (Similac with Iron) and had no documented hypoglycemia or polycythemia while she was in the nursery. On the third day of life, the patient's mother noticed one episode of rhythmic head twitching that lasted for 10 to 15 s. No other abnormal movements were noted in the nursery. On the fourth day of life, the patient's mother noticed rhythmic jerking


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.