From: Dihydrotachysterol intoxication treated with pamidronate: a case report
Ref. | Age, Sex | Underlying disease | Vitamin D compound | Serum Ca/P (mg/dl) | Creatinine (mg/dl) | PTH (pg/ml) | 25 OH D3 (ng/ml) | Treatment | Other treatment | Response time |
---|---|---|---|---|---|---|---|---|---|---|
4. | 40 years, M | Hypoparathyroidism | Ergocalciferol 100.000 U/day for 3 years | 13.0 | 4.2 | Â | 121 | Disodium etidronate 400 mg | Hydration, prednisone | 42 weeks |
5. | 7 months | None | Vitamin D | Â | Â | Â | Â | Alendronate | Â | Â |
6. | 3 months, M | None | Vitamin D 1.200.000 U/day | 18.5/3.2 | Â | < 1.0 | 360 | Alendronate 5-10 mg/day | Hydration, diuretics | 18 days |
7. | 31 years, F | Hypoparathyroidism | Dyhydrotahysterol 4 mg/day for 6 months | 4.1 mmol | 5.5 | Â | Â | Pamidronate 20 mg once | Hydration, diuretics | 20 weeks |
8. | 16 months, M | None | Vitamin D | 18 | Â | Â | Â | Pamidronate | Hydration, furosemide, glucocortioids | Â |
9. | 8 months, F | Vitamin D deficiency | 25-hydroxy vitamin D 1.200.000 U | 14.2/4.8 | Â | < 3 | 210 | Alendronate 5 mg/day | Hydration, furosemide | 3 days |
9. | 35 days, M | Vitamin D deficiency | 25-hydroxy vitamin D 600.000 U | 14.5/5.9 | Â | < 3 | 240 | Alendronate 5-10 mg/day | Hydration, furosemide | 8 days |
10. | 3 months, M | None | Vitamin D 2.560.000 U | 16.4/6.7 | Â | Â | 268 | Pamidronate 20 mg twice | Hydration, furosemide, prednisolone | 36 hours |
11. | 6 months | None | Vitamin D | Â | Â | Â | Â | Pamidronate 1 mg/kg/day twice | Hydration, furosemide, calcitonine, prednisolone | 2 days |
12. | 11 months, F | None | Cholecalciferol > 900.000 U | 18 | Â | 1.84 | 200 | Alendronat 5 mg/day for 21 days | Calcitonine, glucocorticoid, oral phosphates | 3 weeks |
12. | 4 months, F | Misdiagnosed for rickets | Cholecalciferol 600.000 U | 14.9 | Â | 4.1 | > 160 | Pamidronate, 1 mg/kg/day for 9 days, alendronate 10 mg/day for 6 weeks | Hydration, glucocrticoids, calcitonin, phosphates | 9 weeks |
13. | 77 years, F | Osteoporosis | Vitamin D 50.000 U/day for 6 days | 21 | 1.9 | Â | 280 | Pamidronate 90 mg once | Hydration | 24 hours |
14. | 7 years, M | Vitamin D deficiency | Vitamin D 300.000 U/day for 15 days | 12.1/3.4 | Â | Â | > 400 | Alendronate 5-10 mg | Hydration, diuretic | 16 days |
15. | 76 years, F | Hypoparathyroidism | Ergocalciferol 100.000 U/day, 12 years | 15.3/3.0 | Â | Â | Â | Pamidronate 45 mg five times | Hydration, prednisolone | 11 months |