Case Reports in Nephrology / 2019 / Article / Tab 1 / Case Report
Severe Hypocalcemia and Resulting Seizure Caused by Vitamin D Deficiency in an Older Patient Receiving Phenytoin: Eldecalcitol and Maxacalcitol Ointment as Potential Therapeutic Options for Hypocalcemia Table 1 Patient's laboratory data on admission.
Reference range Complete blood count White blood cells 10 390/μL Neutrophils 90.6% Red blood cells × 104 342/μ L Hemoglobin 10.8 g/dL Platelets × 104 26.5/μ L Serum biochemistry Total protein 6.2 g/dL Albumin 3.1 g/dL Blood urea nitrogen 13.8 mg/dL Creatinine 0.44 mg/dL Uric acid 1.9 mg/dL Total bilirubin 0.3 mg/dL Aspartate aminotransferase 74 U/L Alanine aminotransferase 36 U/L Alkaline phosphatase 463 U/L γ ‐Glutamyl transpeptidase33 U/L Lactate dehydrogenase 729 U/L Total cholesterol 186 mg/dL Amylase 158 U/L LDL‐cholesterol 96 mg/dL Sodium 131 mEq/L Potassium 3.1 mEq/L Chloride 92 mEq/L Calcium 3.7 mg/dL Phosphate 1.6 mg/dL Magnesium 2.97 mg/dL Hemoglobin A1c (NGSP) 5.6% Coagulation PT‐INR 1.20 APTT 32.1 sec Immunological testing C‐reactive protein 1.67 mg/dL Procalcitonin 0.52 mg/dL Endocrinology Intact PTH 386.8 pg/mL 10–65 Calcitriol 27 pg/mL 20–60 25‐hydroxyvitamin D 5.4 ng/mL 9.0–33.9 TRACP‐5b 116 mU/mL 120–420 BAP 31.3 μ g/L 3.8–22.6 Osteocalcin 10.2 ng/mL Calcitonin <0.5 pg/mL 26.2–49.0 Arterial blood gas pH 7.458 PaO2 81.7 mmHg PaCO2 33.9 mmHg HCO3 − 23.7 mmol/L Ca2+ 0.55 mmol/L Urinary biochemistry Urinary creatinine 121.7 mg/dL Urinary calcium 0.8 mg/dL Urinary phosphate 22.6 mg/dL
Abbreviations: APTT, activated partial thrombin time; BAP, bone‐type alkaline phosphatase; Ca2+ , ionized calcium; HCO3 − , hydrogen carbonate; LDL, low‐density lipoprotein; NGSP, national glycohemoglobin standardization program; PaCO2 , partial pressure of arterial carbon dioxide; PaO2 , partial pressure of arterial oxygen; PT‐INR, prothrombin time‐international normalized ratio; PTH, parathyroid hormone; TRACP‐5b, tartrate‐resistant acid phosphatase 5b.
