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

1 Comments

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