Abstract:
Background:Interest in vitamin D has increased during the past 2 decades, with a corresponding increase in laboratory testing of 25-hydroxyvitamin D [25(OH)D]. The vast majority of specimens tested display normal or deficient levels of 25(OH)D; concentrations rarely fall in the potentially toxic range. Methods:We performed a retrospective investigation of elevated 25(OH)D levels during a 16-year period at the University of Iowa Hospitals and Clinics (UIHC), a 734-bed tertiary-/quaternary-care academic medical center in the midwestern United States. Detailed medical-record review was performed for patients with serum/plasma 25(OH)D concentrations higher than 120 ng per mL. Results:A total of 127,932 serum/plasma 25(OH)D measurements were performed on 73,779 unique patients. Of these patients, 780 (1.05%) had results that exceeded 80 ng per mL and 89 patients (0.12%) had results that exceeded 120 ng per mL. Only 4 patients showed symptoms of vitamin D toxicity. Three of these cases involved inadvertent misdosing of liquid formulations. Conclusions:Symptomatic vitamin D toxicity is uncommon, and elevated levels of 25(OH)D do not strongly correlate with clinical symptoms or total serum/plasma calcium levels. Our study highlights the potential risks of the liquid formulation of vitamin D.
journal_name
Lab Medjournal_title
Laboratory medicineauthors
Lee JP,Tansey M,Jetton JG,Krasowski MDdoi
10.1093/labmed/lmx077subject
Has Abstractpub_date
2018-03-21 00:00:00pages
123-129issue
2eissn
0007-5027issn
1943-7730pii
4807321journal_volume
49pub_type
杂志文章abstract::Antinuclear antibodies (ANAs) are autoantibodies that attack self-proteins within cell nucleus structures; their presence in serum may indicate an autoimmune disease. Also, positive ANA test results have been obtained in chronic infectious diseases, cancers, medication-related adverse events, and even healthy individu...
journal_title:Laboratory medicine
pub_type: 杂志文章,评审
doi:10.1093/labmed/lmy024
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pub_type: 杂志文章,多中心研究
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journal_title:Laboratory medicine
pub_type: 杂志文章
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmx016
更新日期:2017-08-01 00:00:00
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journal_title:Laboratory medicine
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更新日期:2016-11-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz006
更新日期:2019-10-10 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-04-08 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmv016
更新日期:2016-02-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz018
更新日期:2019-10-10 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz051
更新日期:2020-03-10 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz004
更新日期:2019-10-10 00:00:00
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pub_type: 杂志文章
doi:10.1093/labmed/lmw051
更新日期:2017-02-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章,评审
doi:10.1093/labmed/lmaa049
更新日期:2021-01-04 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz092
更新日期:2020-05-06 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmy086
更新日期:2019-07-16 00:00:00
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pub_type: 杂志文章
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1309/LMMN1K6SBRJCGD9J
更新日期:2015-07-01 00:00:00
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更新日期:2017-11-08 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-03-10 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmv011
更新日期:2016-02-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz100
更新日期:2020-09-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmw019
更新日期:2016-08-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章,评审
doi:10.1093/labmed/lmx056
更新日期:2017-11-08 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1309/LMWR9CEA2K2XVSOX
更新日期:2015-04-01 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
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更新日期:2020-01-02 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1093/labmed/lmz035
更新日期:2020-01-02 00:00:00
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journal_title:Laboratory medicine
pub_type: 杂志文章
doi:10.1309/LMNM534LIACPBZWH
更新日期:2015-07-01 00:00:00