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Question for the Doctor My two and a half year old daughter has recently been diagnosed with APS type 1. She is currently hypocalcemic, but the calcium carbonate suspension and the calcium glubionate syrup we have tried make her vomit. Do you have any other suggestions? Also, my daughter has dry eyes and a severely dry mouth. Her lip biopsy was inconclusive for Sjogren's. Have you come across these symptoms in APS patients? Do you know of any treatment that has helped?

RE: calcium and sicca syndrome

Posted by dr at October 06, 2007 09:03 AM

I have found the sicca syndrome to be a component of APS-1, albeit not before at this young age. You might have your physician check for SS-A and SS-B antibodies when the next blood sample is taken to gather evidence for this. As for the low calcium level, the principle requirement is for activated vitamin D (1,25 dihydroxy-vtamin D analog-Rocaltrol or Calcitriol) coupled with adequate amounts of oral calcium such as in milk and cheese. Has she tried Tums?

Kind regards,
Noel Maclaren MD