{"entities":{"Q39936":{"pageid":30304,"ns":120,"title":"Item:Q39936","lastrevid":125115,"modified":"2026-08-13T05:32:55Z","type":"item","id":"Q39936","labels":{"mul":{"language":"mul","value":"5B5K.10"},"pt-br":{"language":"pt-br","value":"Tetania devida a defici\u00eancia de c\u00e1lcio aguda"},"en":{"language":"en","value":"Tetany due to acute calcium deficiency"}},"descriptions":{"pt-br":{"language":"pt-br","value":"O sinal caracter\u00edstico da hipocalcemia aguda \u00e9 a tetania, que \u00e9 caracterizada por irritabilidade neuromuscular. Os sintomas de tetania podem ser leves (dorm\u00eancia perioral, parestesias de m\u00e3os e p\u00e9s, c\u00e3ibras musculares) ou graves (espasmo carpopedal, laringoespasmo e convuls\u00f5es focais ou generalizadas, que devem ser distinguidas das contra\u00e7\u00f5es musculares t\u00f4nicas generalizadas que ocorrem na tetania grave). Outros pacientes apresentam sintomas menos espec\u00edficos, como fadiga, hiperirritabilidade, ansiedade e depress\u00e3o, e alguns pacientes, mesmo com hipocalcemia grave, n\u00e3o apresentam sintomas neuromusculares. Os fatores que determinam a varia\u00e7\u00e3o na frequ\u00eancia e gravidade dos sintomas incluem situa\u00e7\u00e3o do equil\u00edbrio \u00e1cido-b\u00e1sico (hipocalcemia e alcalose agem sinergicamente para causar tetania), hipomagnesemia e o n\u00edvel s\u00e9rico de pot\u00e1ssio."},"en":{"language":"en","value":"The hallmark of acute hypocalcaemia is tetany, which is characterised by neuromuscular irritability. The symptoms of tetany may be mild (peri-oral numbness, paresthesias of the hands and feet, muscle cramps) or severe (carpopedal spasm, laryngospasm, and focal or generalised seizures, which must be distinguished from the generalised tonic muscle contractions that occur in severe tetany). Other patients have less specific symptoms such as fatigue, hyperirritability, anxiety, and depression, and some patients, even with severe hypocalcaemia, have no neuromuscular symptoms. Factors that determine the variation in frequency and severity of symptoms include acid-base status (hypocalcaemia and alkalosis act synergistically to cause tetany), hypomagnesaemia, and potassium balance."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"7c6b43c0a4c3f876d38db17bce4c5d45c89f2270","datavalue":{"value":"https://id.who.int/icd/entity/1530032727","type":"string"},"datatype":"url"},"type":"statement","id":"Q39936$C764C75B-E82A-41CE-902E-F9393802F486","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"83594a3c9a45181ba2984b9431238aca6973537b","datavalue":{"value":"CID11:5B5K.10","type":"string"},"datatype":"string"},"type":"statement","id":"Q39936$EE902021-8390-434B-A357-73DAF76330DD","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"09c81e82dc2e9ad1b1c0c91327f7c77aef7a875c","datavalue":{"value":"dki-india-5B5K.10","type":"string"},"datatype":"string"},"type":"statement","id":"Q39936$2D607CA2-4866-49DA-923B-45F145572DFC","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q39936$5DBBA6F4-301C-48DF-8425-37132033B41E","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q39936$CBF6C38A-7B6A-44F9-BB42-0F2F260B43BA","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q39936$7F57ECC0-E20A-4B57-921F-6ACE7BE0BEB0","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"7d10bfb1ead490638fb4f247c41d79b0af4b2954","datavalue":{"value":{"entity-type":"item","numeric-id":15464,"id":"Q15464"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q39936$36C0965A-7C3D-4863-B6CF-FF0D3316E15C","rank":"normal"}]},"sitelinks":{}}}}