When young rats are exposed to white fluorescent light the concentration of calcium in their serum decreases. This effect is prevented by shielding the occiput, by inhibiting corticosterone synthesis, and by exogenous melatonin. Furthermore, the expected hypocalcemic response to cortisol injection is prevented by melatonin. Light-induced hypocalcemia may result from increased calcium uptake by bone when the blocking effect of melatonin decreases after pineal inhibition by transcranial illumination.
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http://dx.doi.org/10.1126/science.6895262 | DOI Listing |
J Pediatr Endocrinol Metab
January 2023
Department of Neonatology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.
Objectives: Phototherapy is demonstrated to cause hypocalcemia by decreasing melatonin levels and increasing cortisol levels. However, the relationship between parathyroid hormone (PTH) level and calcium has not been previously evaluated in patients receiving phototherapy. Our study aimed to evaluate the effect of phototherapy on ionized calcium (iCa), total calcium (tCa), corrected calcium (cCa), magnesium (Mg), phosphorus (P), 25-hydroxyvitamin D (25(OH)D), and PTH levels.
View Article and Find Full Text PDFIndian J Pediatr
August 2021
Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
Phototherapy-induced hypocalcemia has been postulated to result from a decline in serum melatonin levels. The present observational study evaluated the effects of phototherapy on serum calcium and melatonin levels, and assessed their correlation, if any. Eighty-nine neonates with a total serum bilirubin levels of 14.
View Article and Find Full Text PDFJ Neonatal Perinatal Med
October 2021
Department of Pediatrics, Jawaharlal Nehru Medical College, A.M.U., Aligarh, Uttar Pradesh, India.
Background: Phototherapy is the primary treatment for hyperbilirubinemia in neonates. Hypocalcemia is a lesser known but potential detrimental effect of phototherapy. It has been hypothesized that phototherapy inhibits pineal secretion of melatonin, which blocks the effect of cortisol on bone calcium.
View Article and Find Full Text PDFAdv Biomed Res
November 2016
Department of Neonatology, Isfahan University of Medical Sciences, Isfahan, Iran.
Background: Hypocalcemia is one of the complications of phototherapy resulted from influence of phototherapy in melatonin secretion reducing corticosterone and ultimately increasing bone uptake. In this study, effect of head covering in prevention of this common and serious complication is studied.
Materials And Methods: This prospective, randomized clinical trial study conducted on premature infants with gestational age <35 weeks with jaundice.
Saudi J Kidney Dis Transpl
May 2016
Department of Pediatrics, Guilan University of Medical Sciences, Rasht, Iran.
Phototherapy is the most common, most effective, and least dangerous treatment method for neonatal hyperbilirubinemia and is the treatment of the first choice for neonatal icterus. Hypocalcemia is one of the lesser-known complications of phototherapy. Some studies have shown a relationship between increased urinary calcium excretion and phototherapy-induced hypocalcemia.
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