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非处方维生素D中毒所致高钙血症引起的多发性肾结石

Multiple renal calculi due to hypercalcaemia induced by over-the-counter vitamin D intoxication.

作者信息

Manappallil Robin George, Shylendran Sudhin, Kakkattil Aryasree, Thomas Archana Della

机构信息

Internal Medicine, Baby Memorial Hospital, Calicut, Kerala, India.

Radiology, Baby Memorial Hospital, Calicut, Kerala, India.

出版信息

BMJ Case Rep. 2018 Aug 20;2018:bcr-2018-225849. doi: 10.1136/bcr-2018-225849.

Abstract

Renal stone disease is a common and painful condition. Even though it is rarely fatal, patients describe it as the worst pain in their life. While dietary calcium may decrease the risk of stone formation, patients on supplemental calcium are at higher risk. Moreover, patients with diabetes are more prone to develop renal calculi. Hypervitaminosis D is a rare cause of hypercalcaemia. This is a case of an elderly diabetic man who developed multiple calcium oxalate renal stones due to hypercalcaemia following calcium-vitamin D supplementation.

摘要

肾结石病是一种常见且令人疼痛的病症。尽管它很少致命,但患者称其为一生中最难以忍受的疼痛。虽然膳食钙可能会降低结石形成的风险,但补充钙剂的患者患病风险更高。此外,糖尿病患者更易患肾结石。维生素D过多症是高钙血症的罕见病因。本文报告一例老年糖尿病男性患者,在补充钙 - 维生素D后因高钙血症而发生多发性草酸钙肾结石。

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