Comparison of Treatment Regimens in Management of Severe Hypercalcemia Due to Vitamin D Intoxication in Children

Abstract:

Objective:No large study has been conducted to date to compare the effectiveness of prednisolone, alendronate and pamidronate as first-line treatment in children with hypercalcemia due to vitamin D intoxication. The aim was to perform a multicenter, retrospective study assessing clinical characteristics and treatment results. Methods:A standard questionnaire was uploaded to an online national database system to collect data on children with hypercalcemia (serum calcium level >10.5 mg/dL) due to vitamin D intoxication [serum 25-hydroxyvitamin D (25(OH)D) level >150 ng/mL] who were treated in pediatric endocrinology clinics. Results:Seventy-four children [median (range) age 1.06 (0.65-1.60) years, 45 males (61%) from 11 centers] were included. High-dose vitamin D intake was evident in 77% of the cases. At diagnosis, serum calcium, phosphorus, alkaline phosphatase, 25(OH)D and parathyroid hormone concentrations were 15±3.2 mg/dL, 5.2±1.2 mg/dL, 268±132 IU/L, 322 (236-454) ng/mL, and 5.5 (3-10.5) pg/mL, respectively. Calcium levels showed moderate correlation with 25(OH)D levels (rs=0.402, p<0.001). Patients were designated into five groups according to the initial specific treatment regimens (hydration-only, prednisolone, alendronate, pamidronate, and combination). Need for another type of specific drug treatment was higher in children who initially received prednisolone (p<0.001). Recurrence rate of hypercalcemia was significantly lower in children who were treated with pamidronate (p=0.02). Conclusion:Prednisolone is less effective in the treatment of children with severe hypercalcaemia secondary to vitamin D intoxication and timely implementation of other treatment regimens should be considered.

authors

Demir K,Döneray H,Kara C,Atay Z,Çetinkaya S,Çayır A,Anık A,Eren E,Uçaktürk A,Can Yılmaz G,Törel Ergür A,Kendirci M,Aycan Z,Bereket A,Aydın M,Orbak Z,Özkan B

doi

10.4274/jcrpe.galenos.2018.2018.0131

subject

Has Abstract

pub_date

2019-05-28 00:00:00

pages

140-148

issue

2

eissn

1308-5727

issn

1308-5735

journal_volume

11

pub_type

杂志文章,多中心研究
  • The Growth Characteristics of Patients with Noonan Syndrome: Results of Three Years of Growth Hormone Treatment: A Nationwide Multicenter Study.

    abstract:OBJECTIVE:Noonan syndrome (NS) is a multisystem disorder, and short stature is its most striking manifestation. Optimal growth hormone (GH) treatment for NS is still controversial. In this study, using a nationwide registration system, we aimed to evaluate the growth characteristics and the clinical features of NS pati...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章,多中心研究

    doi:10.4274/jcrpe.3013

    authors: Şıklar Z,Genens M,Poyrazoğlu Ş,Baş F,Darendeliler F,Bundak R,Aycan Z,Savaş Erdeve Ş,Çetinkaya S,Güven A,Abalı S,Atay Z,Turan S,Kara C,Can Yılmaz G,Akyürek N,Abacı A,Çelmeli G,Sarı E,Bolu S,Korkmaz HA,Şimşek E,

    更新日期:2016-09-01 00:00:00

  • Weight for length/height percentiles in infants and young children in Kayseri/Turkey.

    abstract:OBJECTIVE:To produce weight for length/height (WLH) percentiles to be used for the screening of growth and assessment of failure to thrive in infancy and early childhood. METHODS:The data (2009-2010) of the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study were used. A cross-sectional study was designed...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/Jcrpe.1139

    authors: Mazıcıoğlu MM,Demirtaş T,Çcek B,Oztürk A,Kurtoğlu S,Üstünbaş HB

    更新日期:2013-01-01 00:00:00

  • A Novel Nonsense Mutation of PHF6 in a Female with Extended Phenotypes of Borjeson-Forssman-Lehmann Syndrome

    abstract::Borjeson-Forssman-Lehmann syndrome (BFLS) is a rare X-linked disease caused by PHF6 mutations. Classic BFLS has been associated with intellectual disability (ID), developmental delay (DD), obesity, epilepsy, typical facial features and anomalies of fingers and toes. Endocrinological phenotypes and outcome of treatment...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type:

    doi:10.4274/jcrpe.galenos.2019.2018.0220

    authors: Zhang X,Fan Y,Liu X,Zhu MA,Sun Y,Yan H,He Y,Ye X,Gu X,Yu Y

    更新日期:2019-11-22 00:00:00

  • Hyperthyroidism After Allogeneic Hematopoietic Stem Cell Transplantation: A Report of Four Cases.

    abstract::Hematopoietic stem cell transplantation (HSCT) is the only curative treatment for many hematological disorders, primary immunodeficiencies, and metabolic disorders. Thyroid dysfunction is one of the frequently seen complications of HSCT. However, hyperthyroidism due to Graves' disease, autoimmune thyroiditis, and thyr...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.2295

    authors: Sağ E,Gönç N,Alikaşifoğlu A,Kuşkonmaz B,Uçkan D,Özön A,Kandemir N

    更新日期:2015-12-01 00:00:00

  • Interrelationships among changes in leptin, insulin, cortisol and growth hormone and weight status in youth.

    abstract:OBJECTIVE:While acute alterations in leptin, insulin, cortisol and growth hormone (GH) levels have been reported in children following weight change interventions, little is known about natural hormonal changes as children grow and how these changes are affected by unprovoked weight status changes. The purpose of this ...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.v3i1.05

    authors: Ondrak KS,McMurray RG,Hackney AC,Harrell JS

    更新日期:2011-01-01 00:00:00

  • Effect of Maternal Obesity on Fetal Growth and Expression of Placental Fatty Acid Transporters.

    abstract:OBJECTIVE:To explore the effects of maternal high-fat (HF) diet-induced obesity on fetal growth and the expression of placental nutrient transporters. METHODS:Maternal obesity was established in rats by 8 weeks of pre-pregnancy fed HF diet, while rats in the control group were fed normal (CON) diet. Diet-induced obesi...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.4510

    authors: Ye K,Li L,Zhang D,Li Y,Wang HQ,Lai HL,Hu CL

    更新日期:2017-12-15 00:00:00

  • Neonatal Hypopituitarism: Approaches to Diagnosis and Treatment

    abstract::Hypopituitarism is defined as a decreased release of hypophyseal hormones, which may be caused by disease of the pituitary gland disease or hypothalamus. The clinical findings of neonatal hypopituitarism depend on the causes and on presence and extent of hormonal deficiency. Patients may be asymptomatic or may demonst...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章,评审

    doi:10.4274/jcrpe.galenos.2018.2018.0036

    authors: Kurtoğlu S,Özdemir A,Hatipoğlu N

    更新日期:2019-02-20 00:00:00

  • Extreme Premature Small for Gestational Age Infants Have Appropriate Catch-up Growth at Term Equivalence Compared with Extreme Premature Appropriate for Gestational Age Infants

    abstract::Recent studies have shown that small for gestational age (SGA) term infants undergo catch-up growth during infancy but there is limited studies on early growth outcomes of extreme premature SGA infants. The aim of this study was to compare factors associated during birth in extremely premature infants less than 28 wee...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.galenos.2018.2018.0162

    authors: Ng SM,Pintus D,Turner MA

    更新日期:2019-02-20 00:00:00

  • Pubertal gynecomastia coincides with peak height velocity.

    abstract:OBJECTIVE:Pubertal gynecomastia (PG) occurs in up to 65% of adolescent boys. In this study, we investigated the relationship between the ages at which PG and peak height velocity occur in pubertal boys. METHODS:This was a prospective study that was designed to detect PG within three months of its emergence. We examine...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/Jcrpe.958

    authors: Limony Y,Friger M,Hochberg Z

    更新日期:2013-09-10 00:00:00

  • Severe short stature: an unusual finding in lipoid proteinosis.

    abstract::Lipoid proteinosis (LP) is a rare disorder and it can affect every organ in the body. The clinical manifestations of LP may vary considerably between affected individuals. Short stature is reported in patients with LP however the underlying etiology is not clear. Short stature may be due to endocrine dysfunction cause...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4008/jcrpe.v1i2.31

    authors: Poyrazoğlu Ş,Günöz H,Darendeliler F

    更新日期:2008-01-01 00:00:00

  • The Missense Alteration A5T of the Thyroid Peroxidase Gene is Pathogenic and Associated with Mild Congenital Hypothyroidism.

    abstract::Congenital hypothyroidism (CH) occurs with a prevalence of approximately 1:4000 live births. Defects of thyroid hormone synthesis account for 15-20% of these cases. Thyroid peroxidase (TPO) gene is the most common cause for dyshormonogenesis. So far, more than 60 mutations in the TPO gene have been described, resultin...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.2017

    authors: Cangül H,Demir K,Babayiğit HÖ,Abacı A,Böber E

    更新日期:2015-09-01 00:00:00

  • A case of thanatophoric dysplasia type 2: a novel mutation.

    abstract::Thanatophoric dysplasia (TD) is a lethal form of skeletal dysplasia with short-limb dwarfism. Two types distinguished with their radiological characteristics have been defined clinically. The femur is curved in type 1, while it is straight in type 2. TD is known to be due to a mutation in the fibroblast growth factor ...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.1703

    authors: Gülaşı S,Atıcı A,Çelik Y

    更新日期:2015-03-01 00:00:00

  • 46, XY Sex Development Defect due to a Novel Homozygous (splice site) c.673_1G>C Variation in the HSD17B3 Gene: Case Report.

    abstract::The enzyme 17-β-hydroxysteroid dehydrogenase type 3 (17β-HSD3) catalyzes the biosynthesis of testosterone from Δ4-androstenedione, and plays an important role in the final steps of androgen synthesis. 17β-HSD3 deficiency originates from mutations in the HSD17B gene, causing an autosomal recessive 46, XY sex developmen...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.galenos.2020.2020.0249

    authors: Çiftci N,Kayaş L,Çamtosun E,Akıncı A

    更新日期:2021-01-04 00:00:00

  • A patient with 22q11.2 deletion syndrome: case report.

    abstract::22q11 deletion is one of the most frequently encountered genetic syndromes. The phenotypic spectrum shows a wide variability. We report a boy who presented at age 11.9 years with seizures due to hypocalcemia as a result of hypoparathyroidism. FISH analysis revealed a heterozygote deletion at 22q11.2. Positive findings...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4008/jcrpe.v1i3.46

    authors: Eryılmaz SK,Baş F,Satan A,Darendeliler F,Bundak R,Günöz H,Saka N

    更新日期:2009-01-01 00:00:00

  • Hidden Toxicity in Neonatal Intensive Care Units: Phthalate Exposure in Very Low Birth Weight Infants.

    abstract:OBJECTIVE:To determine exposure to endocrine-disrupting phthalates in preterm infants in neonatal intensive care units (NICU). METHODS:Urine samples (n=151) from 36 preterm infants (<32 weeks of gestation and/or <1500 g of birth weight) were collected on the first 3 days of admission to the NICU and biweekly thereafte...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.3027

    authors: Demirel A,Çoban A,Yıldırım Ş,Doğan C,Sancı R,İnce Z

    更新日期:2016-09-01 00:00:00

  • Heterozygous Insulin Receptor (INSR) Mutation Associated with Neonatal Hyperinsulinemic Hypoglycaemia and Familial Diabetes Mellitus: Case Series

    abstract::Mutations in the insulin receptor (INSR) gene are associated with insulin resistance and hyperglycaemia. Various autosomal dominant heterozygous INSR mutations leading to hyperinsulinemic hypoglycaemia (HH) have been described in adults and children (more than 3 years of age) but not in the neonatal period. Family 1: ...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.galenos.2019.2019.0106

    authors: Sethi A,Foulds N,Ehtisham S,Ahmed SH,Houghton J,Colclough K,Didi M,Flanagan SE,Senniappan S

    更新日期:2020-11-25 00:00:00

  • Critical points in the management of pseudohypoaldosteronism type 1.

    abstract::Pseudohypoaldosteronism type 1 (PHA-1, MIM #264350) is caused by defective transepithelial sodium transport. Affected patients develop life-threatening neonatal-onset salt loss, hyperkalemia, acidosis, and elevated aldosterone levels due to end-organ resistance to aldosterone. In this report, we present a patient diag...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.v3i2.20

    authors: Güran T,Değirmenci S,Bulut İK,Say A,Riepe FG,Güran Ö

    更新日期:2011-01-01 00:00:00

  • Peripheral Neuropathy as a Complication of Diabetic Ketoacidosis in a Child with Newly Diagnosed Diabetes Type 1: A Case Report

    abstract::Neurological complications of diabetic ketoacidosis are considered to be a serious clinical problem. The most common complication is cerebral edema. However, these neurological complications also include less common entities such as ischemic or hemorrhagic stroke, cerebral venous and sinus thrombosis or peripheral neu...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.5374

    authors: Baszyńska-Wilk M,Wysocka-Mincewicz M,Świercz A,Świderska J,Marszał M,Szalecki M

    更新日期:2018-07-31 00:00:00

  • Serum paraoxonase/arylesterase activity and oxidative stress status in children with metabolic syndrome.

    abstract:OBJECTIVE:This study aimed to measure paraoxonase/arylesterase activities and to evaluate the total oxidant and antioxidant capacities in obese children and in children with metabolic syndrome (MetS). METHODS:A total of 151 children of comparable ages (13.23±1.96 years, 13.45±1.85 years and 13.95±1.31 years) were enro...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/Jcrpe.1454

    authors: Eren E,Abuhandan M,Solmaz A,Taşkın A

    更新日期:2014-09-01 00:00:00

  • Effects of 5-Hydroxymethylfurfural on Pubertal Development of Female Wistar Rats

    abstract:Objective:5-Hydroxymethylfurfural (HMF) is formed when sugars are heated in the presence of amino acids. HMF is naturally present in many foods. To investigate the toxic effects of HMF on the reproductive system of peripubertal rats. Methods:In the study, 24 immature female Wistar rat were divided into three groups: c...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.galenos.2019.2019.0080

    authors: Elmaoğulları S,Kadan E,Anadol E,Gökçeoğlu A,Çetinkaya S,Yarım GF,Uçaktürk SA,Aycan Z

    更新日期:2020-03-19 00:00:00

  • Identification of Three Novel and One Known Mutation in the WFS1 Gene in Four Unrelated Turkish Families; the Role of Homozygosity Mapping in the Early Diagnosis.

    abstract:OBJECTIVE:Bi-allelic mutations in wolframin gene (WFS1) cause Wolfram syndrome 1 (WS1 or DIDMOAD) characterized with non-autoimmune diabetes mellitus (DM), optic atrophy (OA), diabetes insipidus (DI), sensorineural deafness (SND), urinary tract abnormalities, and neuropsychiatric disorders. We evaluated patients presen...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.galenos.2020.2020.0152

    authors: Sherif M,Demirbilek H,Cayir A,Tahir S,Cavdarli B,Demiral M,Cebeci AN,Vuralli D,Rahman SA,Unal E,Buyukyilmaz G,Baran RT,Ozbek MN,Hussain K

    更新日期:2020-09-17 00:00:00

  • A Critical Appraisal of Growth Hormone Therapy in Growth Hormone Deficiency and Turner Syndrome Patients in Turkey.

    abstract::Early detection of abnormal growth, identification of the underlying cause, and appropriate treatment of the medical condition is an important issue for children with short stature. Growth hormone (GH) therapy is widely used in GH-deficient children and also in non-GH-deficient short stature cases who have findings co...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章,评审

    doi:10.4274/jcrpe.3209

    authors: Yavaş Abalı Z,Darendeliler F,Neyzi O

    更新日期:2016-12-01 00:00:00

  • Hyperprolactinemia in Children with Subclinical Hypothyroidism.

    abstract::Prevalence of hyperprolactinemia in children with subclinical hypothyroidism (ScH) is not known. This study aimed to determine the occurrence and predictors of hyperprolactinemia in euthyroid children and in children with ScH and overt primary hypothyroidism (OPH). Serum prolactin levels were estimated in consecutive ...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.4536

    authors: Sharma N,Dutta D,Sharma LK

    更新日期:2017-12-15 00:00:00

  • Monogenic diabetes secondary to congenital lipodystrophy in a 14-year-old Yemeni girl.

    abstract::A 14-year-old female from Yemen presented with intense abdominal pain and headache. She was born at term to distant cousins, developmentally delayed and significantly dysmorphic. Four years ago, she was diagnosed with diabetes mellitus and undiagnosed hepatic, cardiac, genetic, neurologic, endocrine, musculoskeletal, ...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.v2i4.176

    authors: Roth T,Nair S,Kumar A

    更新日期:2010-01-01 00:00:00

  • Vitamin D Deficiency in Pediatric Fracture Patients: Prevalence, Risk Factors, and Vitamin D Supplementation.

    abstract:OBJECTIVE:Although vitamin D levels are not routinely monitored in pediatric fracture patients, identification of children with a vitamin D deficiency may be clinically relevant because of the potential role of vitamin D in fracture healing. This study aimed to determine the prevalence of vitamin D deficiency in a pedi...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.3474

    authors: Gorter EA,Oostdijk W,Felius A,Krijnen P,Schipper IB

    更新日期:2016-12-01 00:00:00

  • The Relationship between Maternal Gestational Impaired Glucose Tolerance and Risk of Large-for-Gestational-Age Infant: A Meta-Analysis of 14 Studies.

    abstract:OBJECTIVE:To explore, by conducting a meta-analysis, whether gestational impaired glucose tolerance (IGT) is an independent predictor of neonatal large for gestational age (LGA) or not. METHODS:Medline, Embase, and Cochrane Library databases were searched to identify published epidemiological studies (cohort and case-...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章,meta分析

    doi:10.4274/jcrpe.2583

    authors: Wang HQ,Lai HL,Li Y,Liu QF,Hu S,Li L

    更新日期:2016-09-01 00:00:00

  • The effect of insulin resistance and obesity on low-density lipoprotein particle size in children.

    abstract:OBJECTIVE:In adults, it was shown that obesity and insulin resistance affect low-density lipoprotein (LDL) particle size and small dense (sd) LDL is associated with cardiovascular diseases. In this study, we investigated the effect of obesity and insulin resistance on LDL particle size. METHODS:Twenty-six obese childr...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.v2i2.63

    authors: Taşcılar ME,Özgen T,Cihan M,Abacı A,Yeşilkaya E,Eker I,Serdar M

    更新日期:2010-01-01 00:00:00

  • Acute vitamin D intoxication possibly due to faulty production of a multivitamin preparation.

    abstract::Vitamin D intoxication usually occurs as a result of inappropriate use of vitamin D preparations and can lead to life-threatening hypercalcemia. It is also known that there are a number of physicians who prescribe vitamin D supplements for various clinical conditions, such as poor appetite and failure to thrive. While...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/Jcrpe.896

    authors: Anık A,Çatlı G,Abacı A,Dizdarer C,Böber E

    更新日期:2013-01-01 00:00:00

  • Treatment with Depot Leuprolide Acetate in Girls with Idiopathic Precocious Puberty: What Parameter should be Used in Deciding on the Initial Dose?

    abstract:Objective:Doses of gonadotropin releasing hormone (GnRH) analogues used to treat idiopathic central precocious puberty (iCPP) vary among clinicians. Study aims were to evaluate the efficacy of a monthly 3.75 mg dose of leuprolide acetate (LA) to suppress the hypothalamo-pituitary-gonadal (HPG) axis in girls with iCPP a...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.galenos.2019.2019.0060

    authors: Vurallı D,Alikaşifoğlu A,İyigün İ,Canoruç D,Ozon A,Gönç N,Kandemir N

    更新日期:2020-03-19 00:00:00

  • Normative Data of Thyroid Volume-Ultrasonographic Evaluation of 422 Subjects Aged 0-55 Years.

    abstract:OBJECTIVE:To establish local normative data of thyroid volume assessed by ultrasonography in subjects aged 0-55 years living in İstanbul, Turkey. METHODS:Subjects without any known history of thyroid disease, of major surgery and/or chronic disease were enrolled in the study and evaluated by physical examination and t...

    journal_title:Journal of clinical research in pediatric endocrinology

    pub_type: 杂志文章

    doi:10.4274/jcrpe.1818

    authors: Aydıner Ö,Karakoç Aydıner E,Akpınar İ,Turan S,Bereket A

    更新日期:2015-06-01 00:00:00