案例报告:由于维生素D补充剂过量服用,婴儿患有瘤瘤
Carla Pizzini1, Andrea Ossato2, Nicola Realdon2
1Department of Pediatrics, IRCCS Ospedale Sacro Cuore Don Calabria, Negrar di Valpolicella, Italy.
Frontiers in pediatrics
|December 4, 2024
概括
一名儿童过量服用维生素D导致脏结症,尽管初始水平正常. 这一案例凸显了不受监管的补充剂的风险,以及需要仔细监测儿童的维生素D摄入量.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 营养科学 营养科学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 维生素D对于调节和骨健康至关重要,婴儿每日建议摄入量为400 IU.
- 欧洲维生素D补充剂市场缺乏协调的法规,这可能带来潜在的风险.
- 未经管理的维生素D补充剂剂量可能会导致不良反应.
研究的目的:
- 报告儿童因维生素D补充剂过量服用而出现的骨瘤病例.
- 强调医疗保健专业人员对儿科病例中维生素D补充剂的警指导的重要性.
- 强调需要跟踪儿童维生素D中毒的长期结果.
主要方法:
- 一个22个月大的女孩的病例报告,患有多症,多尿症和生长减缓的症状.
- 通过超声波诊断结核病,尽管最初的和功能正常.
- 治疗包括停止维生素D补充剂,补水,利尿剂和饮食修改.
主要成果:
- 这个孩子在7个月内服用了25倍于推的维生素D剂量,导致了结核病.
- 最初的治疗导致维生素D水平正常化,并在一年内改善了生长.
- 瘤瘤的病情保持稳定,这表明潜在的长期影响.
结论:
- 没有监督的维生素D补充剂,特别是来自在线来源的维生素D补充剂,对儿童有很大的风险.
- 医疗保健提供者必须在处方和建议维生素D使用时保持警.
- 建立儿童维生素D中毒病例数据库对于制定治疗方案至关重要.
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