Summary
Primary hypomagnesemia, caused by a defective intestinal Mg absorption, results in tetanic convulsions starting during the 1st months of life. Besides hypomagnesemia, hypocalcemia is the main biochemical feature. By high-dose Mg supplementation alone clinical and biochemical findings can be normalized. Patients with familial Mg-losing kidney show different clinical pictures and biochemical data, which mainly vary from normal to tetanic convulsions, muscular weakness, and/or nephrocalcinosis. Hypomagnesemia can be combined with hypocalcemia or hypokalemia and is due to an inappropriate tubular reabsorption. Magnesium supplementation not always results in a normalization of the biochemical data and amelioration of the clinical course.
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Lombeck, I. (1990). Genetic Defects of the Metabolism of Magnesium, Zinc, Manganese, Molybdenum, and Selenium. In: Fernandes, J., Saudubray, JM., Tada, K. (eds) Inborn Metabolic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-02613-7_37
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DOI: https://doi.org/10.1007/978-3-662-02613-7_37
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