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Response to Long-term Vitamin D Therapy for Bone Disease in Children With Sickle Cell Disease

Year: 2018
Type: article
Abstract: Patients with sickle cell disease (SCD) are at risk for bone fragility from multiple factors including vitamin D deficiency. To date, no studies have evaluated the efficacy and safety of long-term vitamin D therapy for bone disease in children with SCD. We report a cohort of 4 children with SCD found to have severe vitamin D deficiency, secondary hyperparathyroidism, and abnormal bone mineral density treated with monthly high-dose oral cholecalciferol over 2 years. All patients exhibited a positive response to therapy without hypervitaminosis D or hypercalcemia. Further studies are needed to standardize guidelines for optimal vitamin D dosing and prevention of toxicity.
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W2800650871
FWCI: 0.57
Cites: 21
Cited by: 8
Related to: 10