Ioana Alina Anca *, M. Craiu **, E. Tomescu ***, D. Predescu ****, M. Iordăchescu *****, Iustina Stan ******, Alina Stănescu *******
* Ioana Alina Anca – Medic primar pediatru Clinica “Prof. Dr. Alfred Rusescu” București
** M. Craiu – Medic primar pediatru Clinica “Prof. Dr. Alfred Rusescu” București
*** E. Tomescu – Medic primar pediatru, șef de secție, Clinica “Prof. Dr. Alfred Rusescu” București
**** D. Predescu – Medic specialist pediatru Clinica “Prof. Dr. Alfred Rusescu” București
***** M. Iordăchescu – Medic specialist pediatru Clinica “Prof. Dr. Alfred Rusescu” București
****** Iustina Stan – Medic rezident pediatrie Clinica “Prof. Dr. Alfred Rusescu” București
******* Alina Stănescu – Medic rezident pediatrie Clinica “Prof. Dr. Alfred Rusescu” București
Abstract
Vitamin D intoxication, a rare event in parenteral prophylactic administration, becomes more frequent since oral administration is commonly used. Symptoms of vitamin D intoxication (lose of appetite, irritability, diarrhea/constipaiton, polyuria/polydipsia) can easily be mistaken to other disease (digestive). The authors present the case of a female patient, 9 month aged, who received for a long period (6 month) high doses of vitamin D which produced profound hemodinamic (shock), metabolic (hypokalemia, acidosis, hyperglycemia) and organic (acute pancreatitis, nephrocalcinosis) abnormalit ies. In the critical period, differential diagnosis and management were very difficult. Conclusions: with the polymorph dosage recommendations for oral prophylaxis in our country, pediatricians and general practitionersmust be advertised in the presence of common but suggestive digestive symptoms upon a possible vitamin D intoxication.