Zajadacz Bernard, Juszkiewicz Artur
Oddziału Dzieciecego Szpitala Wojewódzkiego w Gorzowie Wielkopolskim.
Wiad Lek. 2004;57(11-12):710-2.
Authors present a rare case of a mild variant of idiopathic infantile hypercalcemia (IIH), in a girl in whom nephrocalcinosis was diagnosed in the 8th week of life. Supplementation of vitamin D3 (400 i.u. per day) has been applied since the age of 3 weeks. The disease was recognised when exploring pyuria and lack of weight gain. Hypercalcemia was corrected by diet reduced in calcium, free of vitamin D3 and with high fluid intake. The first abdominal ultrasound after delivery was performed after 5 week vitamin D3 supplementation. It seems that if abdominal ultrasound scan had been done earlier it could have drawn our attention to the developing nephrocalcinosis and allowed us to start treatment more promptly.
作者报告了一例罕见的特发性婴儿高钙血症（IIH）轻度变异病例，患儿为一名女童，在出生第8周时被诊断出肾钙质沉着症。自3周龄起开始补充维生素D3（每天400国际单位）。在检查脓尿和体重不增时发现了该疾病。通过减少钙摄入、不含维生素D3且大量饮水的饮食纠正了高钙血症。出生后第5周补充维生素D3后进行了首次腹部超声检查。似乎如果更早进行腹部超声扫描，可能会使我们注意到正在发展的肾钙质沉着症，并使我们能够更及时地开始治疗。
