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The Importance of Dietary Therapy in Acute Vitamin D Intoxication

机译:饮食疗法对急性维生素D中毒的重要性

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A previously healthy 9-month-old girl was brought to our clinic after falling from a height. She was restless and mildly dehydrated. She had been given 300,000 units of vitamin D in the previous 10 days. The levels of serum calcium, 25(OH) D vitamin, and parathyroid hormone were 17.1 mg/dl [reference 8.0-10.2], 892.9 ng/ml [reference 7.4-53.3], and 9.8 pg/mL [reference 9-65], respectively. She was treated with intravenous fluids, furosemide, calcitonin, steroid, and a diet containing minimal amounts of calcium and vitamin D. The daily dietary intake was 148 mg calcium and 8 units of vitamin D. Thirty-five days later, the serum vitamin D level had returned to a safe level. The effect of vitamin D can last for months, since it is fat-soluble. The recommended drug therapy inhibits calcium absorption. A diet with reduced calcium and vitamin D shortens the duration of therapy. This article emphasizes the importance of dietary treatment.
机译:一名先前健康的9个月大女孩从高处跌落后被带到我们的诊所。她坐立不安,轻度脱水。在过去的10天中,她已获得300,000单位的维生素D。血清钙,25(OH)D维生素和甲状旁腺激素的水平分别为17.1 mg / dl [参考值8.0-10.2],892.9 ng / ml [参考值7.4-53.3]和9.8 pg / mL [参考值9-65]。 , 分别。她接受了静脉输液,速尿,降钙素,类固醇和含少量钙和维生素D的饮食治疗。每天的饮食摄入量为148 mg钙和8个单位的维生素D。三十五天后,血清维生素D级别已恢复到安全级别。维生素D具有脂溶性,因此其作用可以持续数月。推荐的药物疗法会抑制钙的吸收。减少钙和维生素D的饮食可以缩短治疗时间。本文强调饮食治疗的重要性。

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