• Arthritis Res. Ther. · Jan 2014

    Editorial Comment

    Goldilocks, vitamin D and sarcoidosis.

    • Robert P Baughman and Elyse E Lower.
    • Arthritis Res. Ther. 2014 Jan 1; 16 (3): 111.

    AbstractWhile low levels of vitamin D can increase the risk for osteoporosis, excessive amounts of vitamin D may also be problematic. Hypercalcemia and hypercalcuria due to increased vitamin D activity occur in a significant proportion of sarcoidosis patients. Saidenberg-Kermanac’h and colleagues compared vitamin D levels with bone fragility fractures in their sarcoidosis clinic.They found that a 25-(OH) vitamin D level between 10 and 20 ng/ml was associated with the lowest risk of bone fractures and paradoxically higher levels increased the risk of bone fractures. Using less vitamin D supplementation may simultaneously lower the risk for bone fracture and hypercalcemia in sarcoidosis.

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