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Progress in Understanding the Calcium and Vitamin D Endocrinology Following Burn Injury in Children

AUTHORS

Gordon L Klein 1 , *

AUTHORS INFORMATION

1 Orthopaedic Surgery and Rehabilitation Department, Medical Staff, Shriners Burns Hospital, University of Texas Medical Branch, Galveston, gordonklein@ymail.com, USA

ARTICLE INFORMATION

International Journal of Endocrinology and Metabolism: 10 (1); 435-439
Article Type: Rapid Communication
Received: October 10, 2011
Accepted: November 30, 2011
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Abstract

This review covers the progress made by our group over the past two decades in understanding the effects of severe burn injuries on the endocrine system, especially in relation to calcium and vitamin D metabolism.We examine the phenomena of transient growth hormone deficiency and the dose-dependent effects of recombinant human growth hormone on bone and muscle mass. We move on to discuss the occurrence of post-burn secondary hypoparathyroidism caused by the up-regulation of the parathyroid calcium-sensing receptor, and finally, we discuss vitamin D status, the progressive nature of vitamin D deficiency post-burn, the causes of the progressive deficiency, and what must be done to prevent it.These conditions taken together, while not primarily responsible for post-burn bone loss, may impair the recovery of normal bone density and leave, especially younger populations of victims, vulnerable to a reduction in peak bone mass with subsequent elevated risk of developing osteoporosis as adults.


  • Implication for health policy/practice/research/medical education:
    This article reviews the endocrine changes that occur as a result of burn injury and provides a basis for understanding these changes in the context of all the changes wrought by burn injury. It also provides a means to study possible measures to prevent and treat these abnormal changes.
  • Please cite this paper as:
    Klein GL. Progress in Understanding the Calcium and Vitamin D Endocrinology Following Burn Injury in Children. Int J Endocrinol Metab. 2012;10(1): 435-9. DOI: 10.5812/ijem.2685

Copyright © 2012 Kowsar M. P. Co. All rights reserved.


Keywords

Vitamin D Calcium Burn Injury

© 0, International Journal of Endocrinology and Metabolism. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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