Hepatic osteodystrophy after liver transplantation in a patient with primary biliary cirrhosis.
A patient is presented who developed hepatic osteodystrophy after orthotopic liver transplantation in association with persistently low serum 25-hydroxyvitamin D levels. After successful liver transplantation there was a delay in the return to normal of the serum 25-hydroxyvitamin D levels until oral supplementation with vitamin D was instituted. This case emphasizes the need for effective treatment of hepatic osteodystrophy with vitamin D especially in patients considered for transplantation.
D015652:25-Hydroxyvitamin D 2; D001847:Bone Diseases / Q000097:blood / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D004872:Ergocalciferols / Q000031:analogs & derivatives / Q000097:blood / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008105:Liver Cirrhosis, Biliary / Q000097:blood / Q000601:surgery*; D016031:Liver Transplantation; D008875:Middle Aged; D011859:Radiography; D013131:Spine / Q000000981:diagnostic imaging
D004872:Ergocalciferols; D015652:25-Hydroxyvitamin D 2