Table 1.
Reference Range | Case 1 | Case 2 | |||||
---|---|---|---|---|---|---|---|
Sex, age | Male, 18 y | Female, 8 y | |||||
Weight | 68.3 kg | 22.5 kg | |||||
Presentation | Hematuria, nephrocalcinosis | Polyuria, nephrocalcinosis, hypercalcemia | |||||
Rifampin dose | 600 mg daily | 300 mg daily | |||||
Baseline | 1 mo | 10 mo | Baseline | 11 mo (on treatment) | 13 mo (off treatment × 2 mo) | ||
Albumin adjusted calcium, mg/dL | 8.9–10.4 | 10.5 | 9.6 | 9.6 | 10.7 | 10 | 11.5 |
Phosphorus, mg/dL | 2.5–4.5 | 3.6 | 3.1 | 4.1 | 4.2 | 3.6 | 4.5 |
Alkaline phosphatase, U/L | 184–415 (Case 1) | 82 | 114 | 84 | 242 | 467 | 345 |
0.2–0.73 (Case 2) | |||||||
Intact PTH, pg/mL | 9–69 | 2 | 13 | 16 | 3 | 31 | 3 |
Creatinine, mg/dL | 0.3–0.8 (Case 1) | 1.4 | 1.2 | 1.1 | 0.59 | 0.54 | 0.65 |
0.2–0.73 (Case 2) | |||||||
25(OH)D3, ng/mL | 28 ± 27 | 102 | 83 | 65 | 23 | 16 | 35 |
1,25-dihydroxyvitamin D3, pg/mL | 56 ± 27 | 99 | 53 | 59 | 55 | 58 | 76 |
24,25-dihydroxyvitamin D3, ng/mL | 1.6 ± 1 | Undetectablea | 0.2 | 0.1 | Undetectable | 0.1 | 0.1 |
25-hydroxyvitamin D3/24,25-dihydroxyvitamin D3, ng/ng | 22 ± 13 | N/Ab | 415 | 650 | N/A | 160 | 350 |
4β,25-dihydroxyvitamin D3, pg/mLc | 53 ± 34 | 275 | 594 | 528 | N/A | 82 | 56.7 |
4β,25-dihydroxyvitamin D3/25-hydroxyvitamin D3, (10−3)c | 2.1 ± 0·7 | 2.7 | 7.2 | 5.4 | N/A | 3.7 | 1.3 |
Test was performed, but the concentration was below the detectable limits of the assay.
Not tested.
4β,25-dihydroxyvitamin D3 and the 4β,25-dihydroxyvitamin D3/25-hydroxyvitamin D3 ratio are biomarkers of CYP3A4 induction.