Complete Resolution of Sickle Cell Chronic Pain With High Dose Vitamin D Therapy: A Case Report and Review of the Literature

被引:19
|
作者
Osunkwo, Ifeyinwa [1 ,2 ]
机构
[1] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA 30322 USA
[2] Childrens Healthcare Atlanta, Aflac Ctr Canc & Blood Disorders Serv, Comprehens Sickle Cell Program, Atlanta, GA USA
关键词
sickle cell disease; vitamin D deficiency; chronic pain; D DEFICIENCY; CHILDREN; DISEASE; PREVALENCE; ADULTS;
D O I
10.1097/MPH.0b013e31821ed3ea
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
With age, individuals with sickle cell disease (SCD) experience daily chronic pain. Vitamin D deficiency (VDD) can result in chronic pain, osteoporosis, fractures, and muscle weakness. Several studies report a high prevalence of VDD in SCD; however, the clinical correlates have not been well described. We describe a case of SCD chronic pain associated with profound VDD, osteoporosis, and osteonecrosis. Treatment with high-dose vitamin D resulted in complete resolution of chronic pain symptoms and improvement in bone density. Randomized studies of vitamin D in SCD may help elucidate its role in the management of chronic pain and bone disease.
引用
收藏
页码:549 / 551
页数:3
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