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维生素 D 中毒;里希特转化型高钙血症

Vitamin D Poisoning; Hypercalcemia in a Case with Richter Transformation.

机构信息

Department of Emergency Medicine, Cerrahpasa Faculty of Medicine, Istanbul University Cerrahpasa.

出版信息

Acta Biomed. 2021 Apr 30;92(S1):e2021146. doi: 10.23750/abm.v92iS1.9923.

Abstract

In addition to modern medicine, the search for complementary and alternative medicine has been present for malignancy patients in every period. Confusion, polyuria, polydipsia, anorexia, vomiting, and muscle weakness are symptoms of acute poisoning and are related to hypercalcemia. In our case, a 52-year-old male patient applied to the Emergency Department(ED) with abdominal pain and weakness for two days. In this article, we wanted to present a case with vitamin D poisoning that occurs after the phytotherapy in a patient who developed chronic lymphocytic leukemia (CLL) to Richter transformation. In some patients, especially at ED, taking a high dose of vitamin D history can be challenging. In patients with hypercalcemia, a careful history should be taken, and it should be questioned as "Vitamin D use" rather than "Drug use" since families do not accept the vitamins as drugs.

摘要

除了现代医学,在每个时期都有恶性肿瘤患者在寻找补充和替代医学。 混乱、多尿、多饮、厌食、呕吐和肌肉无力是急性中毒的症状,与高钙血症有关。 在我们的病例中,一名 52 岁男性患者因腹痛和虚弱两天到急诊就诊。 在本文中,我们想介绍一例维生素 D 中毒病例,该病例发生在一名慢性淋巴细胞白血病(CLL)转化为里希特大细胞淋巴瘤的患者接受植物疗法后。 在某些患者中,尤其是在急诊科,高剂量维生素 D 史的获取可能具有挑战性。 在高钙血症患者中,应仔细询问病史,并应将其视为“维生素 D 使用”而不是“药物使用”,因为家庭不接受维生素作为药物。

相似文献

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[Severe hypercalcemia due to vitamin D intoxication].维生素D中毒所致严重高钙血症
Arch Pediatr. 2007 Nov;14(11):1328-32. doi: 10.1016/j.arcped.2007.08.005. Epub 2007 Oct 10.

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