Pamidronate treatment of hypercalcemia caused by vitamin D toxicity

被引:0
作者
Chatterjee, Manjula [1 ]
Speiser, Phyllis W. [1 ,2 ]
机构
[1] Schneider Childrens Hosp, Div Pediat Endocrinol, New Hyde Pk, NY 11040 USA
[2] NYU, Sch Med, Dept Pediat, New York, NY USA
关键词
bisphosphonate; pamidronate; therapy; hypercalcemia; ergocalciferol (vitamin D) administration; dosage; toxicity;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a 16 month-old previously healthy boy with refractory hypercalcemia due to an overdose of an over-the-counter vitamin supplement. The patient presented to the emergency department with a few weeks' history of irritability, constipation and intermittent vomiting. His serum calcium was found to be 18 mg/dl. He was first treated with intravenous fluids, furosemide and glucocorticoids without significant improvement, but became eucalcemic within 24 hours after receiving a single dose of pamidronate. This case highlights the potential danger of high dose vitamin supplements in children, and the salutary effects of treatment with bisphosphonate.
引用
收藏
页码:1241 / 1248
页数:8
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