{"entities":{"Q45866":{"pageid":36237,"ns":120,"title":"Item:Q45866","lastrevid":176109,"modified":"2026-08-13T14:07:26Z","type":"item","id":"Q45866","labels":{"mul":{"language":"mul","value":"KB61.2"},"pt-br":{"language":"pt-br","value":"Hipocalcemia neonatal"},"en":{"language":"en","value":"Neonatal hypocalcaemia"}},"descriptions":{"pt-br":{"language":"pt-br","value":"A hipocalcemia \u00e9 um problema metab\u00f3lico comum em rec\u00e9m-nascidos. No rec\u00e9m-nascido, a hipocalcemia \u00e9 definida pelas categorias de peso ao nascer (PN). Em rec\u00e9m-nascido com peso de nascimento superior a 1500 g, a hipocalcemia \u00e9 definida como uma concentra\u00e7\u00e3o s\u00e9rica total de C\u00e1lcio (Ca) inferior a 8 mg / dL (2 mmol / L) ou uma fra\u00e7\u00e3o ionizada inferior a 4,4 mg / dL (1,1 mmol / L) . Em prematuros de muito baixo peso ao nascer (PN <1500g), a hipocalcemia \u00e9 definida como uma concentra\u00e7\u00e3o s\u00e9rica total de Ca menor que 7 mg / dL (1,75 mmol / L) ou uma fra\u00e7\u00e3o ionizada menor que 4 mg / dL (1 mmol / L) ) As etiologias da hipocalcemia precoce (ocorre nos primeiros dois a tr\u00eas dias ap\u00f3s o nascimento) incluem prematuridade, diabetes materna, asfixia ao nascimento e crescimento intrauterino. As causas de hipocalcemia tardia (geralmente ocorre no final da primeira semana de vida) incluem hipoparatireoidismo e alta ingest\u00e3o de fosfato. A maioria dos rec\u00e9m-nascidos com hipocalcemia \u00e9 assintom\u00e1tica. Se sintom\u00e1tica, a irritabilidade neuromuscular \u00e9 o sinal mais comum de irritabilidade e espasmos musculares. Achados menos comuns incluem convuls\u00f5es e, raramente, laringoespasmo, respira\u00e7\u00e3o ofegante ou v\u00f4mito."},"en":{"language":"en","value":"Hypocalcaemia is a common metabolic problem in newborns. In the neonate, hypocalcaemia is defined by birth weight (BW) categories. In infants with BW greater than 1500 g, hypocalcaemia is defined as a total serum calcium (Ca) concentration less than 8 mg/dL (2 mmol/L) or an ionized fraction of less than 4.4 mg/dL (1.1 mmol/L). In very low birth weight premature infants (BW<1500 g), hypocalcaemia is defined as a total serum Ca concentration less than 7 mg/dL (1.75 mmol/L) or an ionized fraction of less than 4 mg/dL (1 mmol/L). Aetiologies of early hypocalcaemia (occurs in the first two to three days after birth) include prematurity, maternal diabetes, birth asphyxia, and intrauterine growth. Causes of late hypocalcaemia (usually occurs at the end of the first week of life) include hypoparathyroidism and high phosphate intake. Most infants with hypocalcaemia are asymptomatic. If symptomatic, neuromuscular irritability is the most common sign with jitteriness and muscle jerking. Less common findings include seizures, and rarely laryngospasm, wheezing, or vomiting."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"ccd01c47606a982d3d8d84e3befc676cf656117e","datavalue":{"value":"https://id.who.int/icd/entity/549613748","type":"string"},"datatype":"url"},"type":"statement","id":"Q45866$1571D155-5676-4D52-8480-A7D4140BDF80","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"e50baec2ed8093b0cafae1786a5692ae8b9b7f7d","datavalue":{"value":"CID11:KB61.2","type":"string"},"datatype":"string"},"type":"statement","id":"Q45866$CE121FAB-680D-4EEA-8FC9-F8FC94711D4D","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"7017c2346ffb637998edaeb69b986fcbf77a5bde","datavalue":{"value":"dki-india-KB61.2","type":"string"},"datatype":"string"},"type":"statement","id":"Q45866$8F3D2B41-5A98-436A-99ED-9FAF4F911C10","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q45866$6B52A80A-EB20-421F-A1F9-685F36EA2540","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":"Q45866$78E5892D-C979-41E7-B4FB-8946D71609B3","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":"Q45866$11FF3809-EA84-49A8-B77D-72AA943758F8","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"adbeacf1d187e3c6a864806d7c9d47babb8b871f","datavalue":{"value":{"entity-type":"item","numeric-id":21665,"id":"Q21665"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q45866$87B75DDD-8C37-4BC3-AFD2-41800B8F1A41","rank":"normal"}]},"sitelinks":{}}}}