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Neonatal hypocalcemia
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Neonatal hypocalcemia : ウィキペディア英語版
Neonatal hypocalcemia

Neonatal hypocalcemia is an abnormal clinical and laboratory hypocalcemia condition that is frequently observed in infants.()
Healthy term infants go through a physiological nadir of serum calcium levels at 7.5 - 8.5 mg/dL by day 2 of life. Hypocalcemia is a low blood calcium level. A total serum calcium of less than 8 mg/dL (2mmol/L) or ionized calcium less than 1.2 mmol/L in term neonates is defined as hypocalcemia. In preterm infants, it is defined as less than 7mg/dL (1.75 mmol/L) total serum calcium or less than 4mg/dL (1 mmol/L) ionized calcium. ()
Both early onset hypocalcemia (presents within 72h of birth) and late onset hypocalcemia (presents in 3-7 days after birth) require calcium supplementation treatment.
Risk factors of early neonatal hypocalcemia
* Prematurity
* Perinatal asphyxia
* Diabetes mellitus in the mother
* Maternal hyperparathyroidism
* Intrauterine growth retardation (IUGR)
* Iatrogenic
Risk factors of late neonatal hypocalcemia
* Exogenous phosphate load
* Use of gentamicin
* Gender and ethnic: late neonatal hypocalcemia occurred more often in male infants and Hispanic infants
* Others
:
* Magnesium deficiency
:
* Transient hypoparathyroidism of newborn
:
* Hypoparathyroidism due to other causes
== References ==

* Jain, A., Agarwal, R., Sankar, M. J., Deorari, A., & Paul, V. K. (2010). Hypocalcemia in the newborn. ''Indian Journal of Pediatrics, 77,'' 1123-1128.
* Oden, J., Bourgeois, M. (2000). Neonatal endocrinology. ''Indian Journal of Pediatrics, 77,'' 217-213.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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