A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole

We herein report the case of a 41-year-old Japanese female office worker who developed symptomatic hypocalcemia with severe vitamin D deficiency following treatment for Graves’ disease with methimazole. The patient’s hypocalcemia was mainly caused by vitamin D deficiency due to unbalanced diets and...

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Main Authors: Kazuyuki Miyashita, Tetsuyuki Yasuda, Hideaki Kaneto, Akio Kuroda, Tetsuhiro Kitamura, Michio Otsuki, Yasuyuki Okamoto, Noboru Hamada, Munehide Matsuhisa, Iichiro Shimomura
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/512671
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author Kazuyuki Miyashita
Tetsuyuki Yasuda
Hideaki Kaneto
Akio Kuroda
Tetsuhiro Kitamura
Michio Otsuki
Yasuyuki Okamoto
Noboru Hamada
Munehide Matsuhisa
Iichiro Shimomura
author_facet Kazuyuki Miyashita
Tetsuyuki Yasuda
Hideaki Kaneto
Akio Kuroda
Tetsuhiro Kitamura
Michio Otsuki
Yasuyuki Okamoto
Noboru Hamada
Munehide Matsuhisa
Iichiro Shimomura
author_sort Kazuyuki Miyashita
collection DOAJ
description We herein report the case of a 41-year-old Japanese female office worker who developed symptomatic hypocalcemia with severe vitamin D deficiency following treatment for Graves’ disease with methimazole. The patient’s hypocalcemia was mainly caused by vitamin D deficiency due to unbalanced diets and inadequate exposure to sunlight in addition to the resolution of hyperthyroidism. Vitamin D deficiency is increasing worldwide, and it has been more recently shown to relate to the pathogenesis of Graves’ disease. However, vitamin D deficiency as a cause of hypocalcemia has received little attention. Taken together, this case suggests that we should take more care in calcium kinetics and vitamin D status during treatment for Graves’ disease with antithyroid drugs.
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institution Kabale University
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publishDate 2013-01-01
publisher Wiley
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series Case Reports in Endocrinology
spelling doaj-art-8b30ab8b4ad54557ae9977a17782718e2025-02-03T06:44:46ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/512671512671A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with MethimazoleKazuyuki Miyashita0Tetsuyuki Yasuda1Hideaki Kaneto2Akio Kuroda3Tetsuhiro Kitamura4Michio Otsuki5Yasuyuki Okamoto6Noboru Hamada7Munehide Matsuhisa8Iichiro Shimomura9Department of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDiabetes Therapeutics and Research Center, The University of Tokushima, Tokushima 770-8503, JapanDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanSumire Clinic, Osaka 535-0031, JapanSumire Hospital, Osaka 536-0001, JapanDiabetes Therapeutics and Research Center, The University of Tokushima, Tokushima 770-8503, JapanDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanWe herein report the case of a 41-year-old Japanese female office worker who developed symptomatic hypocalcemia with severe vitamin D deficiency following treatment for Graves’ disease with methimazole. The patient’s hypocalcemia was mainly caused by vitamin D deficiency due to unbalanced diets and inadequate exposure to sunlight in addition to the resolution of hyperthyroidism. Vitamin D deficiency is increasing worldwide, and it has been more recently shown to relate to the pathogenesis of Graves’ disease. However, vitamin D deficiency as a cause of hypocalcemia has received little attention. Taken together, this case suggests that we should take more care in calcium kinetics and vitamin D status during treatment for Graves’ disease with antithyroid drugs.http://dx.doi.org/10.1155/2013/512671
spellingShingle Kazuyuki Miyashita
Tetsuyuki Yasuda
Hideaki Kaneto
Akio Kuroda
Tetsuhiro Kitamura
Michio Otsuki
Yasuyuki Okamoto
Noboru Hamada
Munehide Matsuhisa
Iichiro Shimomura
A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole
Case Reports in Endocrinology
title A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole
title_full A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole
title_fullStr A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole
title_full_unstemmed A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole
title_short A Case of Hypocalcemia with Severe Vitamin D Deficiency following Treatment for Graves’ Disease with Methimazole
title_sort case of hypocalcemia with severe vitamin d deficiency following treatment for graves disease with methimazole
url http://dx.doi.org/10.1155/2013/512671
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