Newborn with dilated cardiomyopathy secondary to vitamin d deficiency

Hanan Al Azkawi1, Angham Al Mutair

  • 1Pediatric Endocrinology Division, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Insights

Hypocalcemia, often caused by vitamin D deficiency, can lead to reversible dilated cardiomyopathy in newborns. Prompt calcium and vitamin D treatment rapidly restored the infant's cardiac function in this reported case.

Area of Science:

  • Pediatric Cardiology
  • Neonatology
  • Endocrinology

Background:

  • Hypocalcemia is an uncommon yet reversible cause of dilated cardiomyopathy.
  • Vitamin D deficiency is the primary etiological factor in most reported hypocalcemia cases.

Purpose of the Study:

  • To report a case of a newborn with hypocalcemia-induced dilated cardiomyopathy.
  • To highlight the role of vitamin D deficiency in this condition.
  • To demonstrate the efficacy of prompt treatment.

Main Methods:

  • Case report of a newborn presenting with symptoms of hypocalcemia and dilated cardiomyopathy.
  • Diagnostic workup to confirm low calcium levels and vitamin D deficiency.
  • Therapeutic intervention with calcium and vitamin D supplementation.

Main Results:

  • The newborn exhibited dilated cardiomyopathy secondary to severe hypocalcemia.
  • Biochemical tests confirmed vitamin D deficiency as the underlying cause.
  • Following treatment with calcium and vitamin D, rapid improvement in cardiac function was observed.

Conclusions:

  • Vitamin D deficiency-induced hypocalcemia can cause reversible dilated cardiomyopathy in neonates.
  • Early diagnosis and treatment are crucial for favorable cardiac outcomes.
  • This case underscores the importance of considering metabolic causes for cardiomyopathy in newborns.

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