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[Vitamin D deficiency. Easy to diagnose, often overlooked].
- Source :
-
Ugeskrift for laeger [Ugeskr Laeger] 1999 Apr 26; Vol. 161 (17), pp. 2515-21. - Publication Year :
- 1999
-
Abstract
- On the basis of five cases the typical clinical picture of patients with severe vitamin D deficiency is presented. The diagnosis can easily be mistaken and it is not uncommon that rheumatic or malignant diseases are suspected instead. By using a simple screening blood test consisting of 25-OH-vitamin D, PTH and alkaline phosphatase most cases will be diagnosed correctly. Important risk factors are reviewed, the most important being: elderly > 70 years, persons with low exposure to direct sunlight, gastrointestinal diseases and persons in anti-convulsive treatment. A treatment regimen consisting of oral supplementation of 1000-1500 mg calcium + 1000 IU vitamin D to patients with an isolated low 25-OH-vitamin D (< 20 nmol/l) is recommended. If the patient also has raised values of PTH or alkaline phosphatase an intramuscular dose of 100,000 IU ergocalciferol pr week for one month is given.
- Subjects :
- Aged
Arabs
Bone Density
Bone and Bones pathology
Calcium, Dietary administration & dosage
Denmark ethnology
Diagnosis, Differential
Female
Humans
Male
Middle Aged
Risk Factors
Vitamin D administration & dosage
Vitamin D Deficiency blood
Vitamin D Deficiency drug therapy
Vitamin D Deficiency diagnosis
Subjects
Details
- Language :
- Danish
- ISSN :
- 0041-5782
- Volume :
- 161
- Issue :
- 17
- Database :
- MEDLINE
- Journal :
- Ugeskrift for laeger
- Publication Type :
- Academic Journal
- Accession number :
- 10327872