A Case Report: Femoral Fracture in a Multiple Sclerosis Patient with Vitamin D Deficiency-A Preventable Injury

作者：Edlich Richard F^*; Mason Shelley S; Reddig Jill S; Gubler Dean K; Long William B III

来源：Journal of Environmental Pathology, Toxicology and Oncology, 2010, 29(1): 3-5.

In this report, we describe the management of a multiple sclerosis patient with a femoral fracture who had severe vitamin D deficiency After the patient's preoperative laboratory studies revealed a normal platelet count, the orthopedic surgeon performed an intramedullary rod fixation on the patient's left femoral fracture. After the surgery, the diagnosis of vitamin D deficiency was made by measuring the circulating serum concentration of 25-dihydroxyvitamin D (25(OH)D) via Disorin's Vitamin D immunochemiluminometric assay LIASION (R) by LabCorp (Laboratory Corporation of America). The patient's postoperative management included the oral administration of 4000 IU of vitamin D, in a gel-cap suspension that resulted in an elevation of the blood serum concentration of 25(OH)D to an optimal concentration of >80 nmol/L (32 ng/ml).

• 出版日期2010