Chronic anemia and thyroid function.

Anaemia is a global public health problem affecting both developing and developed countries with major consequences for human health as well as social and economic development. It occurs at all stages of the life cycle, but is more prevalent in pregnant women and young children. Iron deficiency anaemia (IDA) impairs thyroid metabolism in animals and human and may negatively affect growth and develpment of children.

Manifestations of severe vitamin D deficiency in adolescents: effects of intramuscular injection of a megadose of cholecalciferol.

We recorded the manifestations of severe vitamin D deficiency (VDD) in 40 adolescents before and 3 and 6 months after treatment with a mega dose of cholecalciferol (10 000 IU kg(-1), max 600 000 IU). Significant improvement of symptoms related to VDD was reported in 34/40. Three months after the injection, serus calcium, phosphate, alkaline phosphatase and parathormone were normal in all adolescents with VDD with 25-hydroxyvitamin D (25OHD) level = or >20 ng ml(-1).

An adolescent boy with thalassemia major presenting with bone pain, numbness, tetanic contractions and growth and pubertal delay: panhypopituitarism and combined vitamin D and parathyroid defects.

A 16-year-old boy with transfusion-dependent thalassemia major presented with tetany, numbness, bone pain, short stature and pubertal delay. His height SDS score=-2.6, BMI=22.

Calcium homeostasis in 40 adolescents with beta-thalassemia major: a case-control study of the effects of intramuscular injection of a megadose of cholecalciferol.

Unlabelled: The prevalence of disturbed calcium homeostasis in adolescents with beta thalassemia major (T) varies among different populations. Moreover, the cholecalciferol uptake required to achieve or maintain any given serum 25-hydroxycholecalciferol level is not well known, particularly within ranges of the probable physiologic supply of the vitamin.

Objectives: The objectives of the study were to estimate the prevalence of abnormal calcium homeostasis in 40 adolescent thalassemic patients, and to investigate the effect of an IM injection of a mega dose of vitamin D3 on serum 25-hydroxycholecalciferol (25-OH D) concentration and other calcium homeostasis parameters in vitamin D deficient (VDD) thalassemic adolescents, and to compare these results with those for non-thalassemic adolescents with VDD.