Hypomagnesaemic tetany (hypomagnesaemic tetany with secondary hypocalc
aemia) is a rare inherited form of hypomagnesaemia. Initial reports in
volved affected males only; however, affected females have also been r
eported. The case of a child with hypomagnesaemic tetany is described,
the biochemical and genetic aspects of this condition are reviewed an
d the importance of the assessment of renal magnesium excretion in pat
ients presenting with hypomagnesaemia is highlighted.