Vitamin-D deficiency, the hidden pandemic in sunshine sufficient countries, exacerbating hypocalcaemia in a health worker undergoing thyroidectomy - a global perspective and review of literature
Medica Innovatica
; 11(1):1-6, 2022.
Article
in English
| CAB Abstracts | ID: covidwho-2318202
ABSTRACT
Introduction:
Vitamin D deficiency (VDD) is common in young adults even in sunlight sufficient countries. It manifests with subtle and trivial symptoms that are often ignored. Nutritional deficiency due to improper dietary habits, poverty, long hours at work and study are factors. The lockdown during COVID has exacerbated the incidence. We had a patient with VDD who became symptomatic after routine thyroidectomy prompting our review into literature on the global health perspective of VDD. Material andmethod:
- A 21-year-old nursing student developed hypocalcaemia within 24 hours after a routine thyroidectomy. VDD was detected and patient improved after supplementation. Literature was reviewed from Pubmed database for the medical aspects of the problem, from Government archives like the Scientific Advisory Committee on Nutrition, ICMR etc for cause and medical archives including those of paediatric and general health for the impact of disease at the state, national and global level. A global health problem list was prepared and data was reviewed.Discussion:
Vitamin D is protective against respiratory infections due to viral aetiology including COVID. However, complete lockdown to prevent spread of COVID, online learning, and work from home culture has reduced sunlight exposure and increased incidence of VDD. Post thyroidectomy hypocalcaemia is common in VDD.Conclusion:
Since there is a high prevalence of asymptomatic VDD even in sunshine sufficient countries, it is recommended to screen all patients especially young adults for VDD during routine preoperative work up.
Prion; Viral; Bacterial and Fungal Pathogens of Humans [VV210]; Nutrition related Disorders and Therapeutic Nutrition [VV130]; Non-communicable Human Diseases and Injuries [VV600]; Occupational Health and Safety [VV900]; Health Services [UU350]; Non-drug Therapy and Prophylaxis of Humans [VV710]; human diseases; epidemiology; disease prevalence; risk factors; viral diseases; coronavirus disease 2019; vitamins; vitamin D deficiency; vitamin deficiencies; case reports; clinical aspects; hypocalcaemia; thyroidectomy; thyroid gland; surgery; surgical operations; literature reviews; medical auxiliaries; occupational health; man; Severe acute respiratory syndrome coronavirus 2; Kerala; India; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; Commonwealth of Nations; lower-middle income countries; medium Human Development Index countries; South Asia; Asia; SARS-CoV-2; viral infections; clinical picture; hypocalcemia; thyroid; allied health occupations; health workers
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Collection:
Databases of international organizations
Database:
CAB Abstracts
Language:
English
Journal:
Medica Innovatica
Year:
2022
Document Type:
Article
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