Figure 1.

Electrocardiogram showed: markedly prolonged QT interval at admission (A) and improvement after
calcium replenishment (B)

(A)
Figure 1. Electrocardiogram showed: markedly prolonged QT interval at admission (A) and
improvement after calcium replenishment (B)

(B)
Figure 2. Algorithm protocol for managing vitamin D
deficiency
Table 1. Laboratory results and normal range for tested parameters

Parameter Result Normal range

Calcium 0.9 mg/dL 8.6-10.3 mg/dL
Albumin 2.91 g/dL 3.4-5.4 g/dL
Phosphate 3.1 mg/dL 3.0-4.5 mg/dL
Serum creatinine 0.8 mg/dL 0.6-1.3 mg/dL
AST 42 U/L 0-35 U/L
ALT 25 U/L 0-37 U/L
Intact PTH 57.8 pg/mL 15-65 pg/mL
Magnesium 2.2 mg/dL 1.9-2.5 mg/dL
TSHs 5.35 μIU/mL 0.35-5.1 μIU/mL
T4 7.04 ng/mL 5.13-14.06 ng/mL
T3 0.632 μg/dL 0.846-2.02 μg/dL
24-h urinary calcium 101.3 mg 100-250 mg
25(OH)D 13.9 ng/mL 30-80 ng/mL
AST: aspartate aminotransferase; ALT: alanine aminotransferase; PTH: parathyroid hormone;
TSHs: thyroid-stimulating hormone; T4: thyroxine; T3: triiodothyronine; 25(OH)D: 25-
hydroxyvitamin D₃
Table 2. Mineral metabolism parameters upon admission and after treatment

1st week of 2nd week of 3rd week –

Parameter At admission 24-hour of treatment
treatment treatment discharged

Calcium (mg/dL) 0.9 8.9 6.6-8.4 8.1 8.7-7.9

25(OH)D (ng/mL) - - 13.9 - -

Intact PTH (pg/mL) - - 57.8 21.8 -