vitamin d and risk for vitamin a intoxication in an 18-month-old boy
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2016
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Abstract
An 18-month-old boy presented with abdominal pain, vomiting, diarrhea, and poor appetite for 6 days. He had been given a multivitamin preparation once daily, containing 50.000 IU of vitamin D and 10.000 IU of vitamin A for a wide anterior fontanelle for about three months. He presented with hypercalcemia, low levels of parathyroid hormone (PTH), and very high serum 25-hydroxyvitamin D (25-OHD) levels. Renal ultrasound showed nephrocalcinosis. He did not have sign or symptom of vitamin A intoxication. Patient was successfully treated with intravenous hydration, furosemide, and prednisolone. With treatment, serum calcium returned rapidly to the normal range and serum 25-OHD levels were reduced progressively. In conclusion the diagnosis of vitamin D deficiency rickets without checking 25-OHD levels may cause redundant treatment that leads to vitamin D intoxication (VDI).
| Reference Key |
talarico2016casevitamin
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|---|---|
| Authors | ;Valentina Talarico;Massimo Barreca;Rossella Galiano;Maria Concetta Galati;Giuseppe Raiola |
| Journal | jurnal perikanan universitas gadjah mada |
| Year | 2016 |
| DOI |
10.1155/2016/1395718
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| URL | |
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