Bandele E O, Afonja O A
J Natl Med Assoc. 1987 Sep;79(9):981-3.
Fifty-two patients with active pulmonary tuberculosis were studied. Seventy percent of the patients were hypocalcemic at admission, but became normocalcemic after ten weeks of therapy. The improvement in hypocalcemia was thought to be due to either improved serum protein and albumin levels, which occurred after admission, or the reduced physical activity of the patients.Care should be taken in giving patients with pulmonary tuberculosis vitamin D supplements because of the possibility of hypersensitivity to vitamin D.The possible mechanisms of hypercalcemia in active pulmonary tuberculosis are discussed.
对52例活动性肺结核患者进行了研究。70%的患者入院时血钙过低，但经过十周治疗后血钙恢复正常。血钙过低情况的改善被认为是由于入院后血清蛋白和白蛋白水平提高，或者患者体力活动减少。由于患者可能对维生素D过敏，所以给肺结核患者补充维生素D时应谨慎。文中讨论了活动性肺结核患者高钙血症的可能机制。
