Hypocalcemia and stridor: an unusual presentation of vitamin D-deficient rickets

J Emerg Med. 1998 Jan-Feb;16(1):41-3. doi: 10.1016/s0736-4679(97)00240-0.


The differential diagnosis of stridor in the pediatric population is broad and should include hypocalcemia with resultant laryngospasm. We present the case of a breast-fed infant who presented to the pediatric emergency department with profound stridor during the winter months because of hypocalcemia of undiagnosed rickets. The patient responded to intravenous calcium chloride with rapid resolution of symptoms. Emergency physicians should consider obtaining ionized calcium levels in pediatric patients with stridor, especially when standard therapies for more common causes of stridor are ineffective.

Publication types

  • Case Reports

MeSH terms

  • Breast Feeding
  • Calcium Chloride / therapeutic use
  • Disease-Free Survival
  • Emergency Service, Hospital
  • Humans
  • Hypocalcemia / diagnosis
  • Hypocalcemia / drug therapy
  • Hypocalcemia / etiology*
  • Infant
  • Injections, Intravenous
  • Male
  • Respiratory Sounds / diagnosis
  • Respiratory Sounds / etiology*
  • Rickets / complications*
  • Rickets / diagnosis*
  • Rickets / drug therapy


  • Calcium Chloride