CLINICAL MANIFESTATION The symptoms of hypocalcemia may vary depending on age.

In newborns there may be no specific symptoms found while later there may be possibilities of vomiting, abdominal distension and poor feeding as early signs of hypocalcemia. Earliest newborns may be premature, birth asphyxia may occur, and congenital heart disease may be found. Symptom experienced in children are not as far as those experienced by the adults. Often the earliest symptoms of hypocalcemia in children is paresthesias, tingling sensation around the mouth and lips, and in the extremities of the hands and feet. Additionally Petechia which appear as one-off spots become confluent and appear as purpura in some parts of the body. Tetany and signs of nerve irritability will be found it further calcium deficiency happens. Usually carpopedal and generalized tetany all over the body shows an unrelieved and strong contractions of the hands and muscles of the body. Further Latent tetany showing signs of Trousseau latent tetany shows carpal spasm by inflating the blood pressure cuff and maintaining the cuff pressure above systolic. Also Chvostek's sign odservable by tapping of the inferior portion of the zygoma will produce facial spasms. Tendons of children are usually hyperactive during reflexes. There may be some serious life threatening clinical manifestation found in calcium deficiency, although hypocalcemia is already an emergency condition. Such condtion such as laryngospasm, cardiac arrhythmias, and apnea is a dangerous complication of calcium deficiency. Cardiac arrhythmias may develop and ECG changes including Intermittent QT prolongation on the echocardiogram will be shown if further hypocalcemia occurs, it may lead to a ventricular fibrillation that is a serious problem.