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D-vitamin­förgiftning av preparat köpt på nätet. Skyhög daglig dos under ett halvår gav svår hyperkalcemi
Engelsk titel: Vitamin D intoxication caused by drugs bought online. Sky high daily dosage for six months resulted in severe hypercalcemia Läs online Författare: Mannheimer, Buster ; Törring, Ove ; Nathanson, David Språk: Swe Antal referenser: 20 Dokumenttyp: Fallbeskrivning UI-nummer: 15067327

Tidskrift

Läkartidningen 2015;112(23-24)1095-7 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Intoxication with vitamin D may lead to severe hypercalcemia, renal failure and occasionally to death. An increasing amount of vitamin D supplement is sold over-the-counter (OTC) or over the internet. Here we present a case were a person obtained vitamin D over the internet and administered 50 000 IE daily to his father for a period of six months, in the pursuit to stop or reverse the progression of a vascular dementia. The treatment resulted in a severe hypercalcemia and recurrent hospitalizations. In cases with an unexplained hypercalcemia, being associated with high levels of 25(OH)-vitamin D3 the possibility of intake of D- vitamin sold without a doctor’s prescription should be investigated.