{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:32:30Z","timestamp":1791977550286,"version":"4.4.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Apart from maintaining healthy bones, vitamin D is also required for cell differentiation, cell growth inhibition, and immune modulation. Vitamin D deficiency is common in the Indian subcontinent. Vitamin D presenting toxicity, leading to hypercalcemia, acute kidney injury, and altered sensorium is very rare. Here we present a case of a 65-year-old man who presented to emergency with persistent vomiting, altered sensorium, and acute kidney injury. The cause of which was an unchecked intake of vitamin D for non-specific musculoskeletal pain. When treated with intravenous fluid, diuretics, calcitonin, and steroids, the patient improved clinically. Therefore, for any patient presenting with persistent vomiting, altered sensorium, and hypercalcemia, with normal to low parathyroid hormone levels, a diagnosis of an overdose of vitamin D should be considered. Early treatment of this condition not only improves the symptoms but also prevents further kidney damage.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1525_21","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T01:12:59Z","timestamp":1648516379000},"page":"1561-1563","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Vitamin D toxicity due to self-prescription: A case report"],"prefix":"10.4103","volume":"11","author":[{"given":"Javid Rasool","family":"Bhat","sequence":"first","affiliation":[{"name":"Department Clinical Hematology, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajad Ahmed","family":"Geelani","sequence":"additional","affiliation":[{"name":"Department Clinical Hematology, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afaq Ahmad","family":"Khan","sequence":"additional","affiliation":[{"name":"Department Clinical Hematology, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reshma","family":"Roshan","sequence":"additional","affiliation":[{"name":"Department Clinical Hematology, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh Govind","family":"Rathod","sequence":"additional","affiliation":[{"name":"Department Clinical Hematology, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,3,18]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"550","DOI":"10.3389\/fendo.2018.00550","article-title":"Vitamin D toxicity\u2013A clinical perspective","volume":"9","author":"Marcinowska-Suchowierska","year":"2018","journal-title":"Front Endocrinol"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1210\/jc.2011-0385","article-title":"Evaluation, treatment, and prevention of vitamin D deficiency:An endocrine society clinical practice guideline","volume":"96","author":"Holick","year":"2011","journal-title":"J Clin Endocrinol Metab"},{"key":"B3-20240828","first-page":"236","article-title":"Hypervitaminosis D and systemic manifestations:A comprehensive review","volume":"27","author":"Gupta","year":"2014","journal-title":"JIMSA"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"270","DOI":"10.7861\/clinmedicine.17-3-270","article-title":"Hypercalcaemia \u2013Presentation and management","volume":"17","author":"Turner","year":"2017","journal-title":"Clin Med"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"909","DOI":"10.4103\/ija.IJA_166_20","article-title":"Vitamin D toxicity presenting with altered sensorium and hypercalcaemia","volume":"64","author":"Sarma","year":"2020","journal-title":"Indian J Anaesth"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"363","DOI":"10.4103\/ijem.IJEM_116_19","article-title":"Vitamin D toxicity:A prospective study from a tertiary care centre in Kashmir Valley","volume":"23","author":"Misgar","year":"2019","journal-title":"Indian J Endocrinol Metab"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1525_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:10:51Z","timestamp":1787166651000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1525_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,18]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1525_21","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,18]]},"assertion":[{"value":"2021-07-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}