Myocardial calcification caused by secondary hyperparathyroidism due to dietary deficiency of calcium and vitamin D.

Publication/Presentation Date

1-1-2005

Abstract

A 6-year-old girl presented with respiratory distress. Chest radiographs exhibited calcifications in the mediastinum. Further imaging revealed extensive cardiac calcifications on computed tomography of the chest. The laboratory parameters were consistent with findings of secondary hyperparathyroidism. Detailed review of her dietary history revealed a prolonged history of dietary deficiency of calcium and vitamin D. Treatment consisted of adequate daily replacement of calcium and ergocalciferol. On follow-up, her parathyroid hormone level was significantly reduced and substantially reduced cardiac calcifications were seen on echocardiogram. Pediatric cardiologists must be aware of this potentially fatal but treatable disease in children with cardiac calcifications unexplained by other causes.

Volume

26

Issue

4

First Page

460

Last Page

463

ISSN

0172-0643

Disciplines

Medicine and Health Sciences | Pediatrics

PubMedID

15690240

Department(s)

Department of Pediatrics

Document Type

Article

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