Possible Causes for neonatal tetany Hypocalcemia Neonates may have hypotonia, tachycardia, tachypnea, apnea, poor feeding, jitteriness, tetany, and/or seizures. [msdmanuals.com] Between 5 and 10 days of life, "late" neonatal hypocalcemia may result in tetany and seizures. [web.archive.org] Signs include hypotonia, tachycardia, tachypnea, apnea, poor feeding, jitteriness, tetany, and seizures. [msdmanuals.com] Neonatal Hypocalcemia tetany occur in excessive incidence. [ncbi.nlm.nih.gov] Abstract Findings in a case of neonatal tetany in a child whose mother had elevated blood parathyroid hormone levels because of a parathyroid adenoma are given. [annals.org] CASES of neonatal tetany not due to rickets were reported in the early 1900's. [nejm.org] Hyperphosphatemia Phosphate binders have traditionally been used to treat hyperphosphatemia, a common complication in patients with end stage renal disease (ESRD). New evidence suggests that nicotinic acid and its metabolites may effectively decrease phosphorus absorption in the gastrointestinal tract, thereby reducing serum[…] [ncbi.nlm.nih.gov] Tetanus Abstract Neonatal tetanus is a severe, often fatal disease caused by the toxin Clostridium tetani. [ncbi.nlm.nih.gov] […] hypocalcaemia) 제외：신생아 부갑상선 기능저하증(neonatal hypoparathyroidism)(P71.4) P71.2 신생아 저마그네슘혈증(Neonatal hypomagnesaemia) P71.3 칼슘 또는 마그네슘 결핍이 없는 신생아 파상풍(Neonatal tetany without calcium [dic.impact.pe.kr] Agent [ Bearbeiten ] Clostridium tetani tetanospasmin tetanospasmin Symptoms [ Bearbeiten ] Spasms Spasms Neonatal tetanus Lock-jaw Prevalence and Treatment [ Bearbeiten ] [commons.wikimedia.org] Vitamin D Deficiency Maternal deficiency can cause tetany in neonates. Osteomalacia predisposes to fractures. In the elderly, hip fractures may result from only minimal trauma. [merckmanuals.com] tetany Characteristic bone changes seen on x-ray X-rays of the radius and ulna plus serum levels of calcium, phosphate, alkaline phosphatase, parathyroid hormone (PTH), and [msdmanuals.com] Tetany may cause paresthesias of the lips, tongue, and fingers; carpopedal and facial spasm; and, if very severe, seizures. [merckmanuals.com] Hyperventilation ( F44.5 ) neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) hyperpnea R06.4 hyperventilation R06.4 - see also Hyperventilation ICD [icd10data.com] R06.4 Tetany (due to) R29.0 ICD-10-CM Diagnosis Code R29.0 Tetany 2016 2017 2018 2019 Billable/Specific Code Applicable To Carpopedal spasm Type 1 Excludes hysterical tetany [icd10data.com] (nocturnal) (paroxysmal) R06.00 ICD-10-CM Diagnosis Code R06.00 Dyspnea, unspecified 2016 2017 2018 2019 Billable/Specific Code hyperventilation R06.4 Hyperventilation (tetany [icd10data.com] Acute Hyperventilation ( F44.5 ) neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) hyperpnea R06.4 hyperventilation R06.4 - see also Hyperventilation ICD [icd10data.com] R06.4 Tetany (due to) R29.0 ICD-10-CM Diagnosis Code R29.0 Tetany 2016 2017 2018 2019 Billable/Specific Code Applicable To Carpopedal spasm Type 1 Excludes hysterical tetany [icd10data.com] (nocturnal) (paroxysmal) R06.00 ICD-10-CM Diagnosis Code R06.00 Dyspnea, unspecified 2016 2017 2018 2019 Billable/Specific Code hyperventilation R06.4 Hyperventilation (tetany [icd10data.com] Psychogenic Hyperventilation ( F44.5 ) neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) hyperpnea R06.4 hyperventilation R06.4 - see also Hyperventilation ICD [icd10data.com] tetany (F44.5) neonatal tetany (P71.3) parathyroid tetany (E20.9) post-thyroidectomy tetany (E89.2) hyperpnea R06.4 hyperventilation R06.4 - see also Hyperventilation ICD [icd10data.com] R06.4 Tetany (due to) R29.0 ICD-10-CM Diagnosis Code R29.0 Tetany 2016 2017 2018 2019 Billable/Specific Code Applicable To Carpopedal spasm Type 1 Excludes hysterical tetany [icd10data.com] Polyneuropathy NOS ( R29.0 ) transitory neonatal hypoparathyroidism ( P71.4 ) E20 - ICD-10-CM Diagnosis Code E34 Other endocrine disorders 2016 2017 2018 2019 Non-Billable/Non-Specific [icd10data.com] Code E20 Hypoparathyroidism 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes Di George's syndrome ( D82.1 ) postprocedural hypoparathyroidism ( E89.2 ) tetany [icd10data.com] Tendinitis Tetanies, Neonatal Tetanilla Tetanillas Tetanus Tetany Tetany, Neonatal Tethered Cord Syndrome Tethered Cord Syndromes Tetralogy of Fallot Tetralogy, Fallot Tetralogy, Fallot's [curehunter.com] Neoplasms Testicular Torsion Testicular Torsions Testis Cancer Testis Cancers Testis Neoplasm Testis Neoplasms Testis Tumor, Rete Testis Tumors, Rete Testis, Undescended Tetanies [curehunter.com] Rare Hyperparathyroidism Barton (1970): Hyperparathyroidism and atute post partum pancreatitis with neonatal tetany in the child. Am. J. Med. Sci. 260, 160–164. [link.springer.com] All mothers with neonates showing tetany or seizures should have serum calcium concentrations checked to exclude primary hyperparathyroidism. [bmj.com] Acute neonatal hypocalcaemia results in tetany and convulsions, usually at 5 to 14 days of age. 6 If the infant is breast fed, tetany can be delayed by one month or more. [bmj.com] Infectious Enteritis How is neonatal tetanus acquired (major problem in developing countries)? [cram.com] Organism enters through contaminated umbilicus or circumcision wound What is the pathogenesis of C. tetani? [cram.com] Primary Immune Deficiency Disorder tetany(absence of parathyroid) • Therapy: Thymic transplants 17. • Cleft palate • Antimongoloid eyes • Short philtrum with fish-mouth appearance, • Micrognathia • Low set [slideshare.net] Other presentations are neonatal hypocalcemic tetany stemming from hypoparathyroidism and congenital cardiovascular anomalies, especially of the great vessels and septa. [ajronline.org] […] called thymic hypoplasia • Congenital disorder • Abnormalities in structure derived from 3rd and 4th pharyngeal pouches • Predominantly T cell defect • Charactersitics: Neonatal [slideshare.net] Immunodeficiency due to MASP-2 Deficiency […] hypocalcemia, which may present as tetany or seizures, due to hypoplasia of the parathyroid glands, and susceptibility to infection due to a deficit of T cells; micrognathia [panelapp.genomicsengland.co.uk] (DGS/VCFS) region (proximal region, LCR22-A to -D) Loss was changed to 22q11.2 recurrent (DGS/VCFS) region (proximal, A-D) (includes TBX1) Loss Added phenotypes 188400; neonatal [panelapp.genomicsengland.co.uk] […] hypocalcemia, which may present as tetany or seizures, due to hypoplasia of the parathyroid glands, and susceptibility to infection due to a deficit of T cells; Velocardiofacial [panelapp.genomicsengland.co.uk] Nontoxic Multinodular Goiter 수족 경련(Carpopedal spasm) 제외 : 히스테리성 강축(hysterical tetany)(F44.5) 신생아 강축(neonatal tetany)(P71.3) 부갑상선 강축(parathyroid tetany)(E20.9) 갑상선 절제술후 강축(post-thyroidectomy tetany) [dic.impact.pe.kr] Congenital anomaly) NOS 선천성 변형(Congenital deformity) NOS R29 기타 신경계 및 근골격계를 침습한 증상 및 징후(Other symptoms and signs involving the nervous and musculoskeletal systems) - R29.0 강축증(Tetany [dic.impact.pe.kr] Neonatal Severe Primary Hyperparathyroidism The two other cases were diagnosed with neonatal tetany and had surgical treatment after delivery. [iss.ndl.go.jp] Neonatal hypocalcemia with tetany is usually a transient phenomenon related to suppression of fetal parathyroid glands resulting from maternal-fetal hypercalcemia, it may [womenshealthsection.com] If hypercalcemia is detected, during pregnancy or neonatal tetany occurs, it is mandatory to rule out primary hyperparathyroidism. [iss.ndl.go.jp] Hereditary Hyperekplexia neonatal tetany, and phenothiazine toxicity. 40 41 Hyperekplexia may also be misdiagnosed as cerebral palsy. 7 The differential diagnoses in adulthood includes neurological [pmj.bmj.com] Differential diagnosis The differential diagnoses of hyperekplexia in the neonatal period include the congenital stiff-man syndrome, startle epilepsy, myoclonic seizures, [pmj.bmj.com] Preterm Labor cardiac arrest, and respiratory depression.3 Magnesium sulfate can cause fetal toxicity at high doses.3,16 While most tocolytics do not show a benefit in neonatal outcomes [uspharmacist.com] […] cause maternal lethargy, drowsiness, double vision, nausea, and vomiting.1 More serious maternal adverse effects include pulmonary edema, hypotension, muscle paralysis, tetany [uspharmacist.com] Neonatal Hypoglycemia […] disorders of calcium and magnesium metabolism P71.0 Cow's milk hypocalcemia in newborn P71.1 Other neonatal hypocalcemia P71.2 Neonatal hypomagnesemia P71.3 Neonatal tetany [icd10data.com] […] without calcium or magnesium deficiency P71.4 Transitory neonatal hypoparathyroidism P71.8 Other transitory neonatal disorders of calcium and magnesium metabolism P71.9 Transitory [icd10data.com] […] hypoglycemia P70.8 Other transitory disorders of carbohydrate metabolism of newborn P70.9 Transitory disorder of carbohydrate metabolism of newborn, unspecified P71 Transitory neonatal [icd10data.com] Pseudomonas Septicemia […] necrophorus Actinobacillosis Actinobacillus lignieresi Black leg Clostridium chauvoei Cheesy gland Corynebacterium ovis Foot rot Sphaerophorus nodosa Lockjaw Clostridium tetani [mds-usa.com] Swelled head Clostridium novyi Eyes Pink eye Colesiota conjunctivae Cerebrospinal fluid, brain Listeriosis Listeria monocytogenes Blood and parenchymatous organs, lambs Neonatal [mds-usa.com] Clostridium Infection C. tetani 포자가 환경에서 제거 될 수 없기 때문에, 상처와 외상의 적절한 치료와 예방 접종이 파상풍 예방에 중요합니다. 파상풍 균주는 녹슨 못에만 있는 것은 아닙니다. [tistorysjloveu2.tistory.com] · Generalized · Local · Cephalic · Neonatal 파상풍은 현재 resource-rich settings에서는 드물지만, 질병은 특히 resource-limited countries에서 백신 접종을 받지 않은 모든 사람들에게 위협이 됩니다. [tistorysjloveu2.tistory.com] Toxic Nodular Goiter 수족 경련(Carpopedal spasm) 제외 : 히스테리성 강축(hysterical tetany)(F44.5) 신생아 강축(neonatal tetany)(P71.3) 부갑상선 강축(parathyroid tetany)(E20.9) 갑상선 절제술후 강축(post-thyroidectomy tetany) [dic.impact.pe.kr] Congenital anomaly) NOS 선천성 변형(Congenital deformity) NOS R29 기타 신경계 및 근골격계를 침습한 증상 및 징후(Other symptoms and signs involving the nervous and musculoskeletal systems) - R29.0 강축증(Tetany [dic.impact.pe.kr] Umbilical Sepsis […] can also contribute to infection.[6] History and Physical Omphalitis is primarily a disease of the neonate and is characterized by tenderness, erythema, and induration of [ncbi.nlm.nih.gov] In addition to omphalitis, tetanus in neonates can result from umbilical cord colonization, particularly in countries with limited resources. [pediatrics.aappublications.org] Proteus mirabilis.[5] If maternal infection with chorioamnionitis is suspected, anaerobic bacteria such as Bacteroides fragilis, Clostridium perfringens, and Clostridium tetani [ncbi.nlm.nih.gov] Psychogenic Cough neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) hyperpnea R06.4 ICD-10-CM Diagnosis Code R06.4 Hyperventilation 2016 2017 2018 [icd10data.com] (due to) R29.0 ICD-10-CM Diagnosis Code R29.0 Tetany 2016 2017 2018 2019 Billable/Specific Code Applicable To Carpopedal spasm Type 1 Excludes hysterical tetany ( F44.5 ) [icd10data.com] Applicable To Tachypnea NOS Type 1 Excludes transitory tachypnea of newborn ( P22.1 ) hysterical F45.8 psychogenic F45.8 Teeth - see also condition grinding psychogenic F45.8 Tetany [icd10data.com] Aerophagy neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) hyperpnea R06.4 ICD-10-CM Diagnosis Code R06.4 Hyperventilation 2016 2017 2018 [icd10data.com] (due to) R29.0 ICD-10-CM Diagnosis Code R29.0 Tetany 2016 2017 2018 2019 Billable/Specific Code Applicable To Carpopedal spasm Type 1 Excludes hysterical tetany ( F44.5 ) [icd10data.com] Applicable To Tachypnea NOS Type 1 Excludes transitory tachypnea of newborn ( P22.1 ) hysterical F45.8 psychogenic F45.8 Teeth - see also condition grinding psychogenic F45.8 Tetany [icd10data.com] Posthemorrhagic Anaemia of the Newborn neonatal hypoglycemia P710Cow's milk hypocalcemia in newborn P711Other neonatal hypocalcemia P712Neonatal hypomagnesemia P713Neonatal tetany without calcium or magnesium [cms.gov] […] thrombocytopenia P612Anemia of prematurity P616Other transient neonatal disorders of coagulation P702Neonatal diabetes mellitus P703Iatrogenic neonatal hypoglycemia P704Other [cms.gov] […] deficiency P714Transitory neonatal hypoparathyroidism P718Other transitory neonatal disorders of calcium and magnesium metabolism P719Transitory neonatal disorder of calcium [cms.gov] Sepsis of Newborn due to Other and Unspecified Streptococci […] disorders of calcium and magnesium metabolism P710 Cow's milk hypocalcaemia in newborn P711 Other neonatal hypocalcaemia P712 Neonatal hypomagnesaemia P713 Neonatal tetany [dentisty.org] Neonatal hypomagnesaemia P71.3 Neonatal tetany without calcium or magnesium deficiency Neonatal tetany NOS P71.4 Transitory neonatal hypoparathyroidism P71.8 Other transitory [embryology.med.unsw.edu.au] […] hypocalcaemia P71.2 Neonatal hypomagnesaemia P71.3 Neonatal tetany without calcium or magnesium deficiency P71.4 Transitory neonatal hypoparathyroidism P71.8 Other transitory [whatdotheyknow.com] Primary Hyperparathyroidism […] hypocalcemia, ranging from neonatal tetany to stillbirth. [shifrinmd.com] PHPT may be associated with intrauterine growth retardation and fetal death, preterm delivery, neonatal hypocalcemic tetany, or seizures [ 132 ]. [link.springer.com] Persistent maternal hypercalcemia suppresses the development of the fetal parathyroid glands.Therefore, the most frequent serious complications of maternal hypercalcemia are neonatal [shifrinmd.com] Tryptophanemia The common causes are primary neonatal tetany, asphyxia, birth trauma, maternal diabetes, exchange transfusion, IPPV, repaired tracheoesophageal fistula, hypoparathyroidism [atulchoube.wordpress.com] HYPOCALCIMIA : This causes neonatal seizures particularly after 3 rd day of life. The seizures are of multifocal variety without loss of consciousness. [atulchoube.wordpress.com] Exchange Transfusion Citrate toxicity, which causes hypocalcaemia leading to paraesthesia and rarely tetany, especially following neonatal exchange transfusion as these red cells are suspended [gosh.nhs.uk]
