忘掉磷吧：一例维生素D过量引起的症状性高钙血症病例。
Forget the phosphorus: A case of hypervitaminosis D-induced symptomatic hypercalcemia.
作者信息
Nguyen Todd, Joe Deanna, Shah Ankur D
机构信息
The Warren Alpert Medical School of Brown University.
Department of Internal Medicine.
出版信息
Clin Nephrol Case Stud. 2021 Feb 9;9:1-3. doi: 10.5414/CNCS110414. eCollection 2021.
Abstract
Hypercalcemia is a frequently encountered electrolyte abnormality with a well-described differential diagnosis and classic algorithm for evaluation. The treatment for hypercalcemia is dependent on the underlying etiology. Hypervitaminosis D is an uncommon cause of hypercalcemia, but the use of vitamin D supplementation has expanded and case reports of supplemental vitamin D induced hypercalcemia have become more frequent. We present a case of hypervitaminosis D-induced altered mental status where diagnosis was delayed and additional invasive testing was performed due to an assumption regarding phosphatemia.
摘要
高钙血症是一种常见的电解质异常，其鉴别诊断明确，评估有经典的算法。高钙血症的治疗取决于潜在病因。维生素D过多症是高钙血症的罕见病因，但维生素D补充剂的使用有所增加，补充维生素D引起高钙血症的病例报告也越来越常见。我们报告一例维生素D过多症导致精神状态改变的病例，由于对血磷的假设，诊断延迟并进行了额外的侵入性检查。
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