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Toddler's Paralysis: An Acute Case of Leg Stiffening in a Previously Healthy 2-Year-Old

Kahne, Kimberly Renee, MD; Tay, Ee Tein, MD

doi: 10.1097/PEC.0000000000001512
Illustrative Cases

Vegetarian and vegan diets are gaining popularity in the United States. Although appropriately planned vegetarian diets, including vegan diets, are healthful and nutritionally adequate and may provide health benefits in the prevention and treatment of certain diseases, not all families are aware of the nutritional supplements that may be required for their children. We describe a case of a 2-year-old previously healthy child consuming a vegan diet who presented to the pediatric emergency department with an acute inability to move her legs. Ionized calcium was found to be 0.89 mmol/L, and symptoms completely resolved within 2 hours of calcium gluconate infusion.

Icahn School of Medicine at Mount Sinai, New York, NY.

Disclosure: The authors declare no conflict of interest.

Reprints: Ee Tein Tay, MD, New York University School of Medicine/Bellevue Hospital Center, Ronald O. Perelman Department of Medicine, 462 First Avenue, Room 345A, New York, NY 10016 (e-mail:

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