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Published on: May 16, 2020
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.
Abstract:
Hypocalcemia is a rare but reversible cause of dilated cardiomyopathy with limited cases being reported in the literature. Vitamin D deficiency is the main cause of hypocalcemia in almost all reported cases. We report a newborn presented with hypocalcemia-induced dilated cardiomyopathy secondary to vitamin D deficiency. After calcium and vitamin D therapy, the baby showed a rapid recovery of the cardiac function.
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