25-year-old woman is brought to the emergency department due to progressive lethargy. For the last 3 weeks, she has also had loss of appetite, constipation, muscle weakness, and increased thirst and urination. The patient's medical history is unremarkable. She takes no prescription medications but has been taking large doses of vitamin D supplements in the belief that they are beneficial for her health. The patient does not use tobacco, alcohol, or illicit drugs. On physical examination, she is stuporous and has dry mucous membranes. The metabolic abnormality most likely responsible for this patient's clinical findings can also occur in which of the following conditions?

Question

Quizplus · Accepted Answer

Eductional Objective: Hpercalcemia can be due to excessive vitamin D intake. the mental status changes, muscle weakness, constipation and polyuria can be the manifestation features. In pathological causes such as sarcoidosis an express of 1-alpha-hydroxylase enzyme will induce an extra production of 1,25-dihydroxyvitamin D and hypercalcemia.

25-Year-Old Woman Is Brought to the Emergency Department Due to Progressive