We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Vitamin D and Risk for Vitamin A Intoxication in an 18-Month-Old Boy.
- Authors
Talarico, Valentina; Barreca, Massimo; Galiano, Rossella; Galati, Maria Concetta; Raiola, Giuseppe
- 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).
- Subjects
VITAMIN D deficiency; VITAMIN A deficiency; AUTO-intoxication; ABDOMINAL pain; PARATHYROID hormone; RICKETS treatment; KIDNEY calcification; DIAGNOSIS; VITAMIN deficiency
- Publication
Case Reports in Pediatrics, 2016, p1
- ISSN
2090-6803
- Publication type
Case Study
- DOI
10.1155/2016/1395718