Role of Serum Electrolytes and Serum Vitamin D in Cirrhotic Patients with Muscle Cramps

Ibrahim, Ibrahim M.; El-badrawy, Elsaid Galal; Ismail, Mohammed Mohammed; Awad, Eman Mohamed; Jouda, Amal; Awwaad, Shaimaa A.

doi:10.21608/zumj.2024.283801.3345

	Role of Serum Electrolytes and Serum Vitamin D in Cirrhotic Patients with Muscle Cramps
Zagazig University Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 26 April 2024
Document Type: Original Article
DOI: 10.21608/zumj.2024.283801.3345
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Authors
Ibrahim M. Ibrahim¹; Elsaid Galal El-badrawy¹; Mohammed Mohammed Ismail ¹; Eman Mohamed Awad²; Amal Jouda³; Shaimaa A. Awwaad¹
¹Tropical Medicine Department, Faculty of Medicine - Zagazig University, Egypt
²Clinical Pathology Department, Faculty of Medicine - Zagazig University, Egypt
³tropical medicine department faculty of medicine zagazig university
Abstract
Background: Skeletal muscle cramps (MCs) are observed in around 29–88 % of patients who had liver cirrhosis (LC). This study aimed to evaluate the validity of measuring serum electrolytes (Na, K, Ca, Mg, and P) and vitamin D among cirrhotic patients who had skeletal muscle cramps. Patients and methods: We performed this case-control study on 72 patients with LC who were allocated into 2 groups: group A (case group of LC patients with skeletal MCs) and group B (control group of LC patients without skeletal MCs). Detailed history taking was collected from all patients; they underwent full clinical examination, pelviabdominal ultrasonography (US), and hematological and biochemical investigations, including measurement of serum electrolytes (Na, K, Ca, Mg, and P) and vitamin D. Results: Serum calcium and vitamin D levels were significantly less among group A than in group B (8.17 ± 0.53 mg/dL versus 8.48 ± 0.57 mg/dL; P=0.017 and 8.1ng/mL vs 18.45ng/mL; P <0.001 respectively). The best cutoff of serum vitamin D in the prediction of MCs among cases with LC is ≤ 12.6 ng/mL with the area under curve 0.87, sensitivity of 88.9 %, specificity of 77.8 %, positive predictive value of 80 %, negative predictive value of 87.5 % and overall accuracy 83.3 %; p < 0.001. Conclusion: The study findings suggested a substantial relationship between serum calcium and serum vitamin D and MCs in cirrhotic patients. No remarkable relationship was revealed between serum sodium, potassium, magnesium, and phosphorus with MCs in cirrhotic patients
Keywords
Liver cirrhosis; skeletal muscle cramps; serum vitamin


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