Ekrem ÜNAL, YAVUZ KÖKSAL, Sevgi KELEŞ, HASİBE ARTAÇ, İsmail REİSLİ, VESİLE MELTEM ENERGİN

Iatrogenic vitamin d intoxiciation in infancy: Three cases

D vitaminin aşırı kullanılmasının potansiyel yan etkileri iyi bilinmektedir. D-vitaminin aşırı kullanılımı barsaktan kalsiyum emilimini artırıp hiperkalsemi ve hiperkalsiüriye; bu ise nefrokalsinozis, ürolitiyazis ve yumuşak dokuda kalsifikasyonlara yol açabilir. Farklı radyolojik bulguları olan üç iyatrojenik D-vitamini intoksikasyonu olgusunun klinik özellikleri sunulmuştur. D vitamini intoksikasyonundan ve komplikasyonlarından kaçınılması için D-vitamini dozu dikkatli hesaplanmalıdır. Ayrıca, çocuklar için zararlı olabilecek ilaçların reçetesiz satılması engellenmelidir.

Süt çocuklarında iyatrojenik D vitamini intoksikasyonu: Üç olgu

The potential hazards of excessive administration of vitamin D are well known. The increased intestinal absorption of calcium due to vitamin D over dosage leads to hypercalcemia and hypercalciuria that may give rise to the development of nephrocalcinosis, urolithiasis, and soft tissue calcification. Clinical features of three cases of iatrogenic vitamin D intoxication with different radiological findings were presented. The dose of vitamin D should be carefully determined in order to avoid vitamin D intoxication, and its complications. In addition, public health measures should be undertaken to prevent drug consumption without prescription that may be dangerous especially for children.

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