Iatrogenic hypervitaminosis D as an unusual cause of persistent vomiting: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 8:74

First Online: 26 February 2014Received: 22 April 2013Accepted: 16 December 2013DOI: 10.1186-1752-1947-8-74

Cite this article as: Bansal, R.K., Tyagi, P., Sharma, P. et al. J Med Case Reports 2014 8: 74. doi:10.1186-1752-1947-8-74

Abstract

IntroductionVitamin D is increasingly recognized to have several beneficial effects. Vitamin D deficiency is widely prevalent. Physicians often treat patients with high doses of vitamin D for various ailments without any monitoring for adverse effects and the prescribed doses often far exceed requirements resulting in toxicity. We present here a classic case of iatrogenic hypervitaminosis D, which presented with persistent vomiting and acute renal failure.

Case presentationHere we present a case of a 45-year-old Asian Indian woman who presented to us with persistent vomiting the cause of which was iatrogenic hypervitaminosis D. She was treated with intravenous fluid, diuretics and calcitonin and had clinical improvement.

ConclusionsWe suggest that in any patient presenting with persistent vomiting and hypercalcemia, particularly in the presence of normal parathyroid hormone, a diagnosis of overdose of vitamin D should be suspected. Its treatment not only alleviates symptoms but also prevents ongoing acute kidney injury.

KeywordsHypercalcemia Hypervitaminosis Vitamin D Abbreviations25OHD25-hydroxyvitamin D

25OHD325-hydroxyvitamin D3

BUNBlood urea nitrogen.

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Autor: Rinkesh Kumar Bansal - Pankaj Tyagi - Praveen Sharma - Vikas Singla - Veronica Arora - Naresh Bansal - Ashish Kumar - Anil

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







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