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Journal of Child Neurology, Vol. 22, No. 1, 74-76 (2007)
DOI: 10.1177/0883073807299956
© 2007 SAGE Publications

Nutritional Vitamin D Deficiency Presenting as Hemichorea

Romeo Fernandez, MD

Department of Pediatrics/Division of Pediatric Neurology, The Children's Hospital, University of Alabama at Birmingham, rfernandez@ peds.uab.edu

Ambika Ashraf, MD, FAAP

Department of Pediatric Endocrinology and Metabolism The Children's Hospital, University of Alabama at Birmingham

Leon S. Dure, MD

Department of Pediatrics/Division of Pediatric Neurology, The Children's Hospital, University of Alabama at Birmingham

The authors describe a pediatric patient with repaired hypoplastic left heart syndrome developing protein-losing enteropathy, hypocalcemia, vitamin D deficiency, and hemichorea. After correction of nutritional vitamin D deficiency with calcium and vitamin D supplementation, the chorea resolved. Hypoalbuminemia also improved after the correction of vitamin D deficiency without requiring albumin infusions. This report also raises the possible role of calcium or vitamin D in the intestinal loss of albumin in protein-losing enteropathy.

Key Words: hypocalcemia • hemichorea • protein-losing enteropathy • vitamin D deficiency • hypoalbuminemia


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