Hypovitaminosis D in glycogen storage disease type I

被引:11
作者
Banugaria, Suhrad G. [1 ]
Austin, Stephanie L. [1 ]
Boney, Anne [1 ]
Weber, Thomas J. [2 ]
Kishnani, Priya S. [1 ]
机构
[1] Duke Univ, Med Ctr, Dept Pediat, Div Med Genet, Durham, NC 27710 USA
[2] Duke Univ, Med Ctr, Dept Med, Div Metab Endocrinol & Nutr, Durham, NC 27710 USA
关键词
Glycogen storage disease type I; Vitamin D; 25-Hydroxyvitamin-D; Bone mineral density; Osteoporosis; Osteopenia; BONE-MINERAL DENSITY; VITAMIN-D DEFICIENCY; CHILDREN; PREVALENCE; INFANTS; GROWTH; NEED;
D O I
10.1016/j.ymgme.2009.12.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Glycogen storage disease type I (GSD I) is caused by inherited defects of the glucose 6-phosphatase complex, resulting in fasting hypoglycemia, lactic acidosis, hyperuricemia and hyperlipidemia. Sixteen out of 26 (61.5%) GSD I patients in our study had suboptimal levels (<30 ng/ml) of 25-hydroxyvitamin-D (25(OH)D) despite supplementation of vitamin D and/or vitamin D + calcium based on WHO standards in 24/26 (92.3%) patients. The restrictive nature of the GSD I diet, metabolic derangements and intestinal malabsorption seen in GSD I are possible reasons for the observed hypovitaminosis D. Our results suggest that measurement of 25(OH)D should be considered in the routine evaluation of GSD 1 patients. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:434 / 437
页数:4
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