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• W2079423408 endingPage "1189" @default.
• W2079423408 startingPage "1177" @default.
• W2079423408 abstract "A 58-year-old female was referred with complaints of progressive weakness of the lower extremities for more than 4 years, and weakness of the upper extremities, especially on abduction, over 6 months. She had been evaluated at a local hospital, but no specific neurologic condition was identified; she was referred for further study. The patient had a history of pulmonary tuberculosis that had been treated with a satisfactory regimen. The possibility of recurrence of tuberculosis previously had been considered, and she had been treated with rifampin, 300 mg, twice daily, and ethambutol, 400 mg, twice daily. The physical examination was unremarkable. A history of intermittent diarrhea and weight loss of 60 pounds over 4 years was elicited. On admission, the laboratory values were: hemoglobin, 10.0 g/dl, with normocytic, normochromic red cell indices and red cell anisocytosis; sedimentation rate, 57 mm in the first hour; serum iron, 41 zg/dl; total iron binding capacity, 223 g/dl; serum calcium, 8.4 mg/dl; phosphorus, 3.1 mg/dl; serum albumin, 3.7 g/dl; alkaline phosphatase, 1383 lU/liter, with isoenzymes revealing predominantly bone fraction; immunoreactive parathyroid hormone (PTH) (using a carboxyterminal assay), 85 sL equivalents/mi (elevated), 25-hydroxyvitamin D concentration, undetectable (normal, 10—40 nglml); 1,25-dihydroxyvitamin D <5 pg/mI (normal, 20—60 pg/mi); and serum carotene, 30 g/di (normal, 48—200 g/dl). Blood urea was 15 mg/dl (normal 13—45 mg/dl) and serum creatinine was 0.6 mg/dl (normal 0.6—0.9 mg/dl). The serum sodium concentration was 144 mEq/liter; potassium, 4.2 mEq/liter; chloride, 116 mEq/liter; and bicarbonate, 20 mEq/liter. Arterial blood gases (on room air) were: pH, 7.29; Pa02, 80 mm Hg; PaCO2, 37 mm Hg; and calculated bicarbonate, 18 mEq/liter. Urinalysis disclosed: pH, 7.0; trace protein and otherwise unremarkable. A 24-hr urine collection" @default.
• W2079423408 created "2016-06-24" @default.
• W2079423408 creator A5086083991 @default.
• W2079423408 date "1991-12-01" @default.
• W2079423408 modified "2023-10-13" @default.
• W2079423408 title "Vitamin D and calcium transport" @default.
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