A Vitamin to Consider: Refractory Hypercalcemia from Vitamin A Toxicity
May 2024
in “
Endocrine practice
”
Studysummary In this case report, researchers identified Vitamin A toxicity as the cause of refractory hypercalcemia in a nonverbal patient, emphasizing the difficulty of diagnosing this rare condition due to its nonspecific symptoms. Our plain-language summary of this paper — not a Tressless recommendation.
The document discusses a rare case of Vitamin A toxicity leading to refractory hypercalcemia in a 19-year-old male with multiple health conditions, including cerebral palsy and spastic paraplegia. Despite extensive prior evaluations, the cause of his persistent hypercalcemia remained unidentified until elevated Vitamin A levels were discovered. This case underscores the importance of considering Vitamin A toxicity in the differential diagnosis of hypercalcemia, particularly in patients with atypical presentations or limited communication abilities. The patient's condition improved after switching to a low Vitamin A formula and receiving intravenous treatments. The study advocates for a more inclusive diagnostic approach in hypercalcemic patients.