Osteomalacia and vitamin D deficiency in a psychiatric rehabilitation unit: case report and survey.
Osteomalacia and vitamin D deficiency in a psychiatric rehabilitation unit: case report and survey.
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DOI：
10.1186/1756-0500-2-82
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发表时间：
2009-05-09
影响因子：
1.8
通讯作者：
Gregory, Carol A
中科院分区：
文献类型：
--
作者：
Cardinal, Rudolf N;Gregory, Carol A
背景技术背景：维生素D缺乏症是常见的，容易导致许多严重的疾病，但往往是unrecognized.FINDINGS：我们描述的情况下，严重的维生素D缺乏症与骨软化症的患者居住在精神病医院超过35年，并讨论原因和并发症。我们分析了一个老年精神病康复单位的所有患者的血清25-羟基维生素D水平。12名患者中有10名（83%）患有维生素D缺乏症，92%的患者维生素D水平低于最佳水平。维生素D的状态是强烈预测饮食补充剂。在那些没有服用维生素D补充剂的人中，100%的人患有维生素D缺乏症，维生素D水平显着低于历史对照组。年龄，性别和住院时间并没有预测维生素D的状态，在这group.CONCLUSION：我们主张在所有患者的维生素D筛查承认老年精神科单位，并讨论治疗方案，目前的问题，影响高剂量的维生素D供应到英国。
BACKGROUND: Vitamin D deficiency is common and predisposes to many serious diseases, yet often goes unrecognized.FINDINGS: We describe a case of severe vitamin D deficiency with osteomalacia in a patient resident in a psychiatric hospital for more than 35 years, and discuss causes and complications. We assayed the serum 25-hydroxyvitamin D levels of all patients under our care on one old-age psychiatry rehabilitation unit. Ten of twelve (83%) of patients had vitamin D deficiency, and 92% had suboptimal vitamin D levels. Vitamin D status was strongly predicted by dietary supplementation. Of those not on vitamin D supplements, 100% had vitamin D deficiency, with vitamin D levels significantly below those of historical controls. Age, sex, and duration of admission did not predict vitamin D status in this group.CONCLUSION: We advocate vitamin D screening in all patients admitted to psychogeriatric units, and discuss treatment options given the current problems affecting high-dose vitamin D supply to the United Kingdom.