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Referral criteria from primary care - adult vitamin D deficiency

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • referral to a specialist if
    • a patient with vitamin D deficiency if there is no obvious cause, or,
    • if there is unexplained weight loss or anaemia or any other suggestion of coeliac disease or fat malabsorption, or,
    • if medication (e.g. antiepileptic drugs, rifampicin) might be the cause, or,
    • if the patient has hepatic or renal disease, or,
    • if there is any illness associated with undue sensitivity to vitamin D and so an increased risk of toxicity with treatment (e.g. sarcoidosis, tuberculosis, lymphoma, primary hyperparathyroidism, pregnancy)
    • also, symptomatic patients who have taken supplements as directed for about 2 months with no improvement clinically or in vitamin D status should be referred to a specialist

Reference:

  1. Drug and Therapeutics Bulletin 2006; 44(4):26-9.

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