Abstract
PURPOSE Vitamin D is essential for the normal absorption of calcium and to maintain calcium homeostasis. Vitamin D deficiency results in rickets, osteomalacia, and bony changes in the spine. Sickle cell disease patients are at an increased risk of vitamin D deficiency. CASE PRESENTATION We describe a case of severe vitamin D deficiency and response to vitamin D supplementation in a patient with sickle cell disease. CONCLUSIONS Currently, there are no recommendations for calcium and vitamin D supplementation in sickle cell patients. Vitamin D deficiency in these patients may be due to poor absorption.