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BMC Research Notes

, 2:82

First Online: 09 May 2009Received: 11 November 2008Accepted: 09 May 2009DOI: 10.1186-1756-0500-2-82

Cite this article as: Cardinal, R.N. & Gregory, C.A. BMC Res Notes 2009 2: 82. doi:10.1186-1756-0500-2-82

Abstract

BackgroundVitamin D deficiency is common and predisposes to many serious diseases, yet often goes unrecognized.

FindingsWe describe a case of severe vitamin D deficiency with osteomalacia in a patient resident in a psychiatric hospital for more than 35 years, and discuss causes and complications. We assayed the serum 25-hydroxyvitamin D levels of all patients under our care on one old-age psychiatry rehabilitation unit. Ten of twelve 83% of patients had vitamin D deficiency, and 92% had suboptimal vitamin D levels. Vitamin D status was strongly predicted by dietary supplementation. Of those not on vitamin D supplements, 100% had vitamin D deficiency, with vitamin D levels significantly below those of historical controls. Age, sex, and duration of admission did not predict vitamin D status in this group.

ConclusionWe advocate vitamin D screening in all patients admitted to psychogeriatric units, and discuss treatment options given the current problems affecting high-dose vitamin D supply to the United Kingdom.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-2-82 contains supplementary material, which is available to authorized users.

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Autor: Rudolf N Cardinal - Carol A Gregory

Fuente: https://link.springer.com/







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