Hyperventilation Syndrome and Hypocalcemia: A Unique Case in Autism Spectrum Disorder.
| Autor: | Kamboj R; Psychiatry and Behavioral Sciences, King George's Medical University, Lucknow, IND., Singh A; Internal Medicine, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, IND., Ketha D; Internal Medicine, Anam Chenchu Subba Reddy (ACSR) Government Medical College, Nellore, IND., Das A; Internal Medicine, Nil Ratan Sircar Medical College and Hospital, Kolkata, IND., Chaudhary SM; Internal Medicine, Gujarat Cancer Society (GCS) Medical College, Hospital, and Research Centre, Ahmedabad, IND., Idris H; Internal Medicine, Shifa International Hospital, Islamabad, PAK., Mallipaddi MC; Internal Medicine, Sri Venkateswara Institute of Medical Sciences, Visakhapatnam, IND. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 May 04; Vol. 16 (5), pp. e59639. Date of Electronic Publication: 2024 May 04 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.59639 |
| Abstrakt: | This case report delves into the rare occurrence of hyperventilation syndrome (HVS) with hypocalcemia in an 18-year-old female diagnosed with autism spectrum disorder (ASD). The rare occurrence highlights the importance of recognizing the potential association between HVS, hypocalcemia, and ASD, emphasizing the need for comprehensive evaluation and management strategies in individuals with ASD presenting with unusual symptoms. Despite ongoing psychotherapeutic treatment, the patient's clinical examination revealed ASD-related communication anomalies. Treatment with Escitalopram resolved panic attacks but left residual anxiety. During an emergency room visit for menstrual-related abdominal pain, a hyperventilation crisis ensued, leading to respiratory alkalosis and hypocalcemia. Swift intervention, including closed mask ventilation and electrolyte infusion, successfully alleviated symptoms. Follow-up assessments indicated normal thyroid function and vitamin D levels. The case highlights the necessity for clinicians to consider electrolyte imbalances in anxiety attacks among ASD patients, emphasizing the importance of timely management for patient safety. The intricate interplay between hyperventilation syndrome, anxiety, and hypocalcemia in ASD patients is explored, offering valuable insights for the nuanced understanding and comprehensive assessment of such cases. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Kamboj et al.) |
| Databáze: | MEDLINE |
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