Hypervitaminosis A as a complication of treatment for neuroblastoma

Pediatr Radiol. 1996;26(3):200-2. doi: 10.1007/BF01405299.

Abstract

A case of hypervitaminosis A (HVA) as a complication of therapy for stage-IV neuroblastoma is presented. The patient was randomized to a trial of 13-cis -retinoic acid (a vitamin A-related compound) after completing routine chemotherapy. This acid was given as a means of maturing potential minimal residual disease. A routine follow-up bone scan revealed areas of increased activity, initially along the midshaft of the right ulna and subsequently bilaterally, which were ultimately found to be due to HVA. Hypervitaminosis A has not been previously reported in this setting, and awareness of the condition is important in centers where this treatment is contemplated.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / drug therapy*
  • Bone and Bones / diagnostic imaging
  • Child, Preschool
  • Humans
  • Hypervitaminosis A / diagnostic imaging
  • Hypervitaminosis A / etiology*
  • Isotretinoin / adverse effects*
  • Isotretinoin / therapeutic use
  • Male
  • Neuroblastoma / drug therapy*
  • Radiography

Substances

  • Isotretinoin