CHARLES E. KING, M.D.
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To the editor: Dr. Velentzas and co-workers' demonstration of abnormally low vitamin-D levels (Ann Intern Med 86:198, 1977) in noncirrhotic alcoholics and in patients on chronic peritoneal dialysis was an interesting and potentially important observation in the otherwise unexplained metabolic bone disease sometimes seen in these patients. The authors' speculation of disturbed protein metabolism in the dialysis patient could be tested by analysis of dialysate for the presence of vitamin-D protein binders. In addition, inadequate intake of vitamin-D (for example, in milk) as a potential problem in the patient with renal failure was not mentioned by the authors and could
KING CE. Vitamin D, Alcoholism, and Dialysis. Ann Intern Med. ;86:830. doi: 10.7326/0003-4819-86-6-830_1
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Published: Ann Intern Med. 1977;86(6):830.
Nephrology, Renal Replacement Therapy, Tobacco, Alcohol, and Other Substance Abuse.
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