A Case of Metabolic Encephalopathy Triggered by Food Supplements

Nidhi Bansal, Divey Manocha, Liviu Danescu, Jennifer Kelly

Abstract


A 59-year-old Caucasian female with history of multiple sclerosis (MS), osteoporosis and breast cancer presented with weakness, constipation, confusion and short term memory loss. Her metabolic profile showed pre renal azotemia and severe hypercalcemia (16.2 mg%). Aggressive medical management led to favorable resolution of her symptoms. A complete diagnostic work up for the etiology of hypercalcemia was then performed. PTH levels were suppressed at 5.6 pg/mL arousing suspicion for hypercalcemia due to malignancy (prior history of breast cancer vs. new primary). PTHrP (0.8 pmol/L), TSH (0.623 IU/L) and free T4 (2.87 ng/dL) were within normal limits. 25- hydroxy Vitamin D level was high at 96 ng/mL, while 1-25 dihydroxy vitamin D was 28 pg/mL. Review of her medication list showed daily intake of 800 units of vitamin D. The patient denied overdosing on prescription vitamin D but later admitted that she was ingesting an expensive naturally derived gel preparation containing about 16,000 IU of vitamin D3 daily. This was one of several alternative medications prescribed to her by an online practitioner for her MS and osteoporosis. Patient was counseled on potential side effects of excessive vitamin D supplementation and these were withheld at the time of discharge.




J Endocrinol Metab. 2013;3(1-2):38-40
doi: https://doi.org/10.4021/jem146w


Keywords


Hypercalcemia; Vitamin D; Complementary and alternative medicine

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Endocrinology and Metabolism, bimonthly, ISSN 1923-2861 (print), 1923-287X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.jofem.org   editorial contact: editor@jofem.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.