High vitamin D deficiency rate in metabolic inpatients: is bariatric surgery planning found guilty?

Background: High rates of vitamin D insufficiency are usually found in obese patients, even before any malabsorptive bariatric surgery. It is not clear whether they lack vitamin D because of different food intake, different solar exposure, or different storage pathways or bioavailability in adipose tissue. To better understand vitamin D deficiency, we studied different categories of inpatients.

Clinical audit concerning the quality of management in patients with classic form of congenital adrenal hyperplasia.

Objective: High Authority for Health (HAS) edited in April 2011 a national program of care and diagnostic (PNDS) concerning congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency in agreement with the international recommendation 2002 and 2010. To reduce long-term complications and improve the quality of life to our patients, we had tested our professional practices.

Patients: All patients aged more than 18 years with classic CAH of the adult endocrine units in the Nancy's University Hospital Center.