Short-Term PTH(1-34) Therapy in Children to Correct Severe Hypocalcemia and Hyperphosphatemia due to Hypoparathyroidism: Two Case Studies

Figure 2

Trends in serum ionized calcium and phosphorus levels in a 12-year-old girl with hypoparathyroidism over the course of hospitalization. Minimum and maximum daily levels of iCa (circles and solid and dashed lines, resp.) and P (squares and dashed and solid lines, resp.) are shown. Black arrows indicate individual calcium gluconate boluses (1 g each). Open arrows point to days of subcutaneous administration of teriparatide with the numbers above the arrows indicating once daily (1) or twice daily (2) injections. Oral supplementation consisted of calcium carbonate except for Days 2-3 when calcium citrate was also given. ECa, elemental calcium.