Key result
Calcium and calcitriol rapidly reverse transitory heart failure in infant severe vitamin D deficiency.
Case Report (n=1)
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We describe a child, 3.5 months old, with severe vitamin D deficiency, profound hypocalcaemia, hyperphosphataemia, dilated left ventricle, severely reduced myocardial contractility and congestive heart failure. She also had depressed thyroid function with subnormal thyroxine and non-detectable serum thyrotropin (TSH) levels. The child promptly responded to calcium infusions, conventional anticongestive therapy and calcitriol. She is now 3 years old and received no medication. Myocardial function is normal but she has motor delay. We believe that her transitory congestive heart failure was caused by severe vitamin D deficiency with profound hypocalcaemia.
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Brunvand et al. (1995) conducted a case report in Congestive heart failure secondary to severe vitamin D deficiency and hypocalcaemia (n=1). Calcium infusions, conventional anticongestive therapy, and calcitriol was evaluated on Myocardial function and clinical recovery. Calcium infusions and calcitriol successfully reversed transitory congestive heart failure caused by severe vitamin D deficiency and profound hypocalcaemia in an infant.
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