Abstract

Case Report

A case of resistant hypercalcemia in a peritoneal dialysis patient with underlying Vitamin A toxicosis

Anas Diab*, Beth Pellegrino, Michelle M Neuman and Kareem Diab

Published: 07 October, 2021 | Volume 5 - Issue 3 | Pages: 081-083

Hypercalcemia in End Stage Renal Disease on Dialysis, is a frustrating complication for both medical staff and patients, and it may lead to vascular calcification, Calciphylaxis, and even aggravating cardiovascular disease, even in the absence of risk factors which can lead to early death [1], and correcting Hypercalcemia even in the absence of hyperphosphatemia is out most important to improve co-morbid conditions and reduce mortality, most common causes in end stage renal disease, includes high calcium dialysis bath, high dietary intake of Calcium rich food, exogenous intake of calcium products, or excessive intake of Vitamin D, underlying Sarcoidosis, rare causes need to be explored in resistant cases, including Vitamin A toxicosis, as being presented in this case.

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References

  1. Goodman WG, Goldin J, Kuizon BD, Yoon C, Gales B, et al. Coronary-artery calcification in young adults with end-stage renal disease who are undergoing dialysis. N Engl J Med 2000; 342:1478. PubMed: https://pubmed.ncbi.nlm.nih.gov/10816185/
  2. Biesalski HK. Comparative assessment of the toxicology of vitamin A and retinoids in man. Toxicology. 1989; 57: 117-161. PubMed: https://pubmed.ncbi.nlm.nih.gov/2665185/
  3. Soprano DR, Soprano KJ. Retinoids as teratogens. Annu Rev Nutr. 1995; 15: 111-132. PubMed: https://pubmed.ncbi.nlm.nih.gov/8527214/
  4. Hathcock JN, Hattan DG, Jenkins MY, McDonald JT, Sundaresan PR, et al. Evaluation of vitamin A toxicity. Am J Clin Nutr. 1990; 52: 183-202. PubMed: https://pubmed.ncbi.nlm.nih.gov/2197848/
  5. Cheruvattath R, Orrego M, Gautam M, Byrne T, Alam S, et al. Vitamin A toxicity: when one a day doesn't keep the doctor away. Liver Transpl. 2006; 12: 1888-1891. PubMed: https://pubmed.ncbi.nlm.nih.gov/17133567/
  6. Binkley N, Krueger D. Hypervitaminosis A and Bone.Nutr Rev. 2000; 58: 138–144. PubMed: https://pubmed.ncbi.nlm.nih.gov/10860393/
  7. Bélanger LF, Clark I. Alpharadiographic and histological observations on the skeletal effects of hypervitaminoses A and D in the rat. Anat Rec. 1967; 158: 443-451. PubMed: https://pubmed.ncbi.nlm.nih.gov/4228328/ 

Figures:

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