Electrolyte Blood Press.  2010 Dec;8(2):92-94.

Hypercalcemia Associated with Acute Kidney Injury and Metabolic Alkalosis

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. baedak@hanmail.net

Abstract

Most cases of hypercalcaemia are secondary to malignancy or primary hyperparathyroidism. We report a patient presenting with a triad of hypercalcemia, metabolic alkalosis, and renal failure secondary to treatment of iatrogenic hypoparathyroidism and osteoporosis. Persistent ingestion of calcium carbonate and vitamin D caused milk-alkali syndrome. The patient was managed with intravenous fluids and withdrawal of calcium carbonate and vitamin D. She responded well to the treatment and the calcium concentration, renal function and metabolic alkalosis were normalized. Milk-alkali syndrome may be important as a reemerging cause of hypercalcemia.

Keyword

calcium; metabolic alkalosis; acute kidney injury

MeSH Terms

Acute Kidney Injury
Alkalosis
Calcium
Calcium Carbonate
Eating
Humans
Hypercalcemia
Hyperparathyroidism, Primary
Hypoparathyroidism
Osteoporosis
Renal Insufficiency
Vitamin D
Calcium
Calcium Carbonate
Vitamin D
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