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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1983-4-7
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pubmed:abstractText |
Five patients with primary biliary cirrhosis and vitamin D deficiency (serum 25-hydroxyvitamin D less than 6 ng/ml) are presented. All patients had low serum 24,25-dihydroxyvitamin D3 concentrations. Three patients had histological osteomalacia, negative calcium balance, and subnormal serum 1,25-dihydroxyvitamin D3. Malabsorption of a standard dose of [3H]vitamin D3 was found in three of four patients with steatorrhea, enabling the effective dose of vitamin D3 given to be calculated. Oral vitamin D3 400-4000 IU/day (effectively 400-1860 IU/day) resulted in a return to normal of the serum vitamin D metabolites, correction of the impaired intestinal calcium absorption and healing of the osteomalacia. Increases in serum calcium, phosphate, and the renal tubular reabsorption of phosphate occurred with a concomitant decrease in serum parathyroid hormone. It is suggested that osteomalacia in primary biliary cirrhosis is the end result of vitamin D deficiency; the hepatic and renal hydroxylations of vitamin D are normal and target tissues are responsive to endogenously produced metabolites of vitamin D.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0163-2116
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
145-53
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6297863-Administration, Oral,
pubmed-meshheading:6297863-Adult,
pubmed-meshheading:6297863-Aged,
pubmed-meshheading:6297863-Biopsy,
pubmed-meshheading:6297863-Cholecalciferol,
pubmed-meshheading:6297863-Dihydroxycholecalciferols,
pubmed-meshheading:6297863-Humans,
pubmed-meshheading:6297863-Ilium,
pubmed-meshheading:6297863-Liver Cirrhosis, Biliary,
pubmed-meshheading:6297863-Middle Aged,
pubmed-meshheading:6297863-Osteomalacia,
pubmed-meshheading:6297863-Time Factors,
pubmed-meshheading:6297863-Vitamin D Deficiency
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pubmed:year |
1983
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pubmed:articleTitle |
Vitamin D deficiency, osteomalacia, and primary biliary cirrhosis. Response to orally administered vitamin D3.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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