Which tests should be performed if vitamin D deficiency is the suspected cause of hypocalcemia?

Updated: Aug 08, 2019
  • Author: Manish Suneja, MD, FASN, FACP; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

If vitamin D deficiency is suspected, measurements of 25(OH) D and 1,25(OH)2 D should be performed. A low 25(OH) D level suggests vitamin D deficiency from poor nutritional intake, lack of sunlight, or malabsorption. Low levels of 1,25(OH)2 D in association with high PTH suggest ineffective PTH from a lack of vitamin D, as observed in patients with chronic renal failure, vitamin D–dependent rickets type I (VDDR-I), and pseudohypoparathyroidism.


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