Dilated Cardiomyopathy in a 2 Month-Old Infant: A Severe Form of Hypocalcemia With Vitamin D Deficient Rickets.
10.4070/kcj.2010.40.4.201
- Author:
Byung Gee KIM
1
;
Seung Ku CHANG
;
Sin Mi KIM
;
Jin Soon HWANG
;
Jo Won JUNG
Author Information
1. Division of Pediatric Cardiology, Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea. jwjung@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Dilated cardiomyopathy;
Congestive heart failure;
Vitamin D deficiency;
Hypocalcemia;
Rickets
- MeSH:
Calcium;
Cardiomyopathy, Dilated;
Heart Failure;
Humans;
Hypocalcemia;
Infant;
Mothers;
Osteomalacia;
Rickets;
Tetany;
Ventricular Function, Left;
Vitamin D;
Vitamin D Deficiency;
Vitamins;
Wills
- From:Korean Circulation Journal
2010;40(4):201-203
- CountryRepublic of Korea
- Language:English
-
Abstract:
Dilated cardiomyopathy, which mostly has an idiopathic etiology or is caused by genetic inheritance or infection, can cause irreversible congestive heart failure. Hypocalcemia is a rare etiology of reversible dilated cardiomyopathy. Here we report the case of a two-month-old girl with congestive heart failure who was diagnosed as having dilated cardiomyopathy secondary to hypocalcemia. After calcium and vitamin D replacement therapy, the patient showed a rapid reduction in hypocalcemic tetany and a rapid recovery of left ventricular function. The cause of the hypocalcemia was vitamin D deficient rickets. She was exclusively breast-fed as an infant, and her mother had a vitamin D deficiency and was diagnosed with osteomalacia.