Tetany: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99).

  • Pseudohypoparathyroidism (synonym: Martin-Albright syndrome) – genetic disorder with autosomal dominant inheritance; symptoms of hypoparathyroidism (hypothyroidism) without a deficiency of parathyroid hormone (PTH) in the blood: four types are distinguished according to appearance:
    • Type Ia: concomitant Albright osteodystrophy: brachymetacarpy (shortening of single or multiple metacarpal bones) and tarsy (shortening of single or multiple metatarsal bones), round face, short stature
    • Type Ib; as in type 1a, there is renal PTH resistance, resistance to other hormones, especially thyrotropin are also possible; there is no Albright osteodystrophy
    • Type Ic: identical to type 1a, except that receptor-independent cAMP production is preserved in vitro.
    • Type II: probably several subtypes, Albright osteodystrophy is not present.

Respiratory system (J00-J99)

  • Bronchial asthma

Endocrine, nutritional and metabolic diseases (E00-E90).

Infectious and parasitic diseases (A00-B99).

  • For infectious diseases, unspecified

Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93).

Psyche – nervous system (F00-F99; G00-G99).

Pregnancy, childbirth, and puerperium (O00-O99).

  • Gravidity tetany – due to hyperemesis (increased vomiting during pregnancy) or gestosis (umbrella term for a number of conditions unique to pregnancy).

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

  • Renal (kidney-related) tetany – hyperphosphatemia (excess phosphate) due to renal insufficiency.

Injuries, poisonings, and other sequelae of external causes (S00-T98).

  • Toxic (based on poison effect) tetany – due to oxalates, fluorides, citrate.
  • In drug poisoning – epinephrine, guanidine, caffeine, morphine.
  • Craniocerebral trauma (TBI) (craniocerebral injury), unspecified.