Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient
Objective. To describe an asymptomatic presentation of severe hypocalcemia secondary to vitamin D deficiency in an elderly patient. Methods. We describe the presentation and clinical course of an elderly woman with asymptomatic severe hypocalcemia referred to an endocrinology clinic for hyperparathy...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2011/830952 |
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| author | Saleh Aldasouqi Crystal M. Glassy Matthew S. Glassy Anxhela Treska Molly Caldwell-McMillan Ved Gossain |
| author_facet | Saleh Aldasouqi Crystal M. Glassy Matthew S. Glassy Anxhela Treska Molly Caldwell-McMillan Ved Gossain |
| author_sort | Saleh Aldasouqi |
| collection | DOAJ |
| description | Objective. To describe an asymptomatic presentation of severe hypocalcemia secondary to vitamin D deficiency in an elderly patient. Methods. We describe the presentation and clinical course of an elderly woman with asymptomatic severe hypocalcemia referred to an endocrinology clinic for hyperparathyroidism. Results. The patient is an 83-year-old Caucasian woman who presented to an endocrinology clinic for evaluation of hyperparathyroidism, with an intact PTH of 462 pg/mL (normal range 14–72 pg/mL). The same lab report included a serum calcium of 5.2 mg/dL (normal range 8–10.5 mg/dL). She displayed no signs or symptoms of hypocalcemia. Given the extreme severity of hypocalcemia and her age, she was hospitalized. Vitamin D deficiency was suspected and was subsequently confirmed with undetectable serum levels. The patient remained asymptomatic throughout her hospital stay. Total and ionized calcium levels at discharge were 7.2 mg/dL and 1.03 mmol/L (normal range 1.1–1.4 mmol/L), respectively. Conclusion. Physicians should exercise prudent management with respect to the vitamin D status of the elderly patient, as certain patients may exhibit severe hypovitaminosis D and hypocalcemia without apparent clinical symptoms. |
| format | Article |
| id | doaj-art-f5063f5015794c538d6a0ef3b95d5cb4 |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-f5063f5015794c538d6a0ef3b95d5cb42025-02-03T00:59:14ZengWileyCase Reports in Endocrinology2090-65012090-651X2011-01-01201110.1155/2011/830952830952Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly PatientSaleh Aldasouqi0Crystal M. Glassy1Matthew S. Glassy2Anxhela Treska3Molly Caldwell-McMillan4Ved Gossain5Endocrine Division, Department of Medicine, Michigan State University, Lansing, MI 48910, USACollege of Osteopathic Medicine, Michigan State University, Lansing, MI 48910, USACollege of Human Medicine, Michigan State University, Lansing, MI 48910, USAGeorgia Health Sciences University, Augusta, GA 30912, USAWashington University School of Medicine in St. Louis, St. Louis, MO 63110, USAEndocrine Division, Department of Medicine, Michigan State University, Lansing, MI 48910, USAObjective. To describe an asymptomatic presentation of severe hypocalcemia secondary to vitamin D deficiency in an elderly patient. Methods. We describe the presentation and clinical course of an elderly woman with asymptomatic severe hypocalcemia referred to an endocrinology clinic for hyperparathyroidism. Results. The patient is an 83-year-old Caucasian woman who presented to an endocrinology clinic for evaluation of hyperparathyroidism, with an intact PTH of 462 pg/mL (normal range 14–72 pg/mL). The same lab report included a serum calcium of 5.2 mg/dL (normal range 8–10.5 mg/dL). She displayed no signs or symptoms of hypocalcemia. Given the extreme severity of hypocalcemia and her age, she was hospitalized. Vitamin D deficiency was suspected and was subsequently confirmed with undetectable serum levels. The patient remained asymptomatic throughout her hospital stay. Total and ionized calcium levels at discharge were 7.2 mg/dL and 1.03 mmol/L (normal range 1.1–1.4 mmol/L), respectively. Conclusion. Physicians should exercise prudent management with respect to the vitamin D status of the elderly patient, as certain patients may exhibit severe hypovitaminosis D and hypocalcemia without apparent clinical symptoms.http://dx.doi.org/10.1155/2011/830952 |
| spellingShingle | Saleh Aldasouqi Crystal M. Glassy Matthew S. Glassy Anxhela Treska Molly Caldwell-McMillan Ved Gossain Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient Case Reports in Endocrinology |
| title | Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient |
| title_full | Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient |
| title_fullStr | Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient |
| title_full_unstemmed | Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient |
| title_short | Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient |
| title_sort | asymptomatic severe hypocalcemia secondary to vitamin d deficiency in an elderly patient |
| url | http://dx.doi.org/10.1155/2011/830952 |
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