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題 名 | Unrecognized Severe Vitamin D Deficiency with Osteomalacia and Secondary Hyperparathyroidism: A Case Report=嚴重維生素D缺乏表現軟骨病與次發性副甲狀腺亢進:個案報告 |
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作 者 | 鄭宇皓; 陳芳瑜; 陳涵栩; 郭錦松; | 書刊名 | 內科學誌 |
卷 期 | 27:3 2016.06[民105.06] |
頁 次 | 頁156-162 |
分類號 | 415.585 |
關鍵詞 | 維生素D缺乏; 軟骨病; 副甲狀腺亢進; Osteomalacia; Secondary hyperparathyroidism; Vitamin D deficiency; Vegan; |
語 文 | 英文(English) |
中文摘要 | 一位74歲女性,生活平時很少從事戶外活動,嚴格遵守純素飲食,近一年的求醫過程主訴雙側膝關節和踝關節間歇性疼痛,理學檢查發現步態蹣跚,高爾氏徵象(Gower's sign) 呈現陽性。進一步檢查顯示正常血鈣但副甲狀腺素升高,超音波無明顯副甲狀腺病變。血清25-羥基維生素D (25-hydroxyvitamin D) 濃度為2.34 ng/ ml,符合嚴重維生素D缺乏症的診斷。典型的臨床表徵、血液檢查結果以及顱骨X光顯現黑白相間現象(salt and pepper sign)可作為骨軟化症診斷的依據。病患在住院期間接收鈣離子輸液和維生素D的補充後,症狀便有顯著改善。本篇個案報告強調要對嚴重維生素D缺乏保持相當的警覺心,因為臨床表現可以有相當大的差異性。 |
英文摘要 | A 74-year-old woman presented with long-term intermittent arthralgia of the bilateral knee and ankle joints for the past year. The physical examination revealed a waddling gait and Gower's sign. Laboratory tests revealed a significant elevation of parathyroid hormone without hypercalcemia or obvious parathyroid lesions, which indicated secondary hyperparathyroidism. A serum 25-hydroxy vitamin D level of 2.34 ng/ml led to a diagnosis of severe vitamin D deficiency, which was the underlying cause of secondary hyperparathyroidism. The salt and pepper sign was also noted in calvarium radiography, but no significant subperiosteal reabsorption was observed in the long bones. The clinical manifestation, laboratory results, and radiographic findings further provided evidence for a diagnosis of osteomalacia. After receiving treatment with calcium infusions and vitamin D supplements, the symptoms were drastically improved. This report implies that clinicians should be more aware of the heterogeneous and potentially dangerous presentations of severe vitamin D deficiency. |
本系統中英文摘要資訊取自各篇刊載內容。