Spasm of hand or foot seen in tetany.
Carpopedal
spasm causes: Parkinson's disease, hypocalcemia, hypomagnesemia, thyroid
dysfunction, Huntington's disease,
multiple sclerosis, and Certain
drugs:
♦ Radiocontrast
♦ Estrogen
♦ Loop diuretics
♦ Bisphosphonates
♦ Calcium supplements
♦ Antibiotics
♦ Antiepileptic drugs
♦ Cinacalcet.
Acute hypocalcemia may lead to syncope,
congestive heart failure (CHF), and angina due to the multiple cardiovascular
effects Neuromuscular and neurologic symptoms may also occur. Neuromuscular
symptoms include the following:
Numbness and tingling sensations in the perioral area or in the
fingers and toes
♦
Muscle
cramps, particularly in the back and lower extremities; may progress to
carpopedal spasm (i.e., Tetany)
♦
Wheezing; may
develop from bronchospasm
♦
Dysphagia
♦ Voice changes (due to laryngospasm)
Neurologic
symptoms of hypocalcemia include the following:
♦ Irritability, impaired intellectual
capacity, depression, and personality changes
♦ Fatigue
♦ Seizures (E.g., grand mal, petit mal,
focal)
♦ Other uncontrolled movements
Chronic hypocalcemia may produce the following
dermatologic manifestations:
♦ Coarse hair
♦
Brittle nails
♦
Psoriasis
♦
Dry skin
♦
Chronic
pruritus
♦
Poor dentition
♦
Cataracts
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