Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient
Joint Authors
Glassy, Matthew S.
Caldwell-McMillan, Molly
Gossain, Ved V.
Treska, Anxhela
Aldasouqi, Saleh
Glassy, Crystal M.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-11-02
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Aldasouqi, Saleh& Glassy, Crystal M.& Glassy, Matthew S.& Treska, Anxhela& Caldwell-McMillan, Molly& Gossain, Ved V.. 2011. Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient. Case Reports in Endocrinology،Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-501609
Modern Language Association (MLA)
Aldasouqi, Saleh…[et al.]. Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient. Case Reports in Endocrinology No. 2011 (2011), pp.1-3.
https://search.emarefa.net/detail/BIM-501609
American Medical Association (AMA)
Aldasouqi, Saleh& Glassy, Crystal M.& Glassy, Matthew S.& Treska, Anxhela& Caldwell-McMillan, Molly& Gossain, Ved V.. Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient. Case Reports in Endocrinology. 2011. Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-501609
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501609