Peer Reviewed
Acute endocrine presentations in general practice

An elderly woman with muscle cramps and paraesthesia after osteoporosis treatment

Sue Lynn Lau, Christian Girgis
Abstract
A case of acute hypocalcaemia occurring as a complication of antiresorptive treatment is described in this article.
Key Points

    Nalini is a frail 82-year-old Indian woman who sees you regularly for several medical conditions. She presents to your clinic in early spring complaining of muscle cramps for the past few days and ‘tingling’ in her fingers and around her mouth. When the practice nurse measures her blood pressure, she develops a spasm in her hand and wrist and the test is aborted.

    Picture credit: © Freshidea/Dollar Photo Club.

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