Case Report

Asymptomatic Severe Hypocalcemia Secondary to Vitamin D Deficiency in an Elderly Patient

Table 1

Initial blood chemistry studies.

Test (unit)Value (normal range)

Serum calcium (mg/dL)5.2 (8–10.5)
Ionized calcium (mmol/L)0.79 (1.1–1.4)
BUN (mg/dL)16 (7–18)
Serum creatinine (mg/dL)1.4 (0.5–1.4)
Phosphorous (mg/dL)4.7 (3.0–4.5)
Albumin (mg/dL)3.4 (3.5–4.8)
Alkaline phosphatase (U/L)313 (20–70)
Serum iPTH (pg/dL)462 (14–72)
25-hydroxyvitamin D (pg/dL)4 (10–55)

Blood urea nitrogen (BUN); intact parathyroid hormone (iPTH).