Hypercalcemia, metabolic alkalosis and renal failure secondary to calcium bicarbonate intake for osteoporosis prevention - modern milk alkali syndrome: a case reportReportar como inadecuado




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Cases Journal

, 2:6188

First Online: 06 August 2009Received: 25 February 2009Accepted: 05 May 2009DOI: 10.4076-1757-1626-2-6188

Cite this article as: Waked, A., Geara, A. & El-Imad, B. Cases Journal 2009 2: 6188. doi:10.4076-1757-1626-2-6188

Abstract

We report a case of a patient presenting with a triad of hypercalcemia, metabolic alkalosis and renal failure secondary to calcium bicarbonate intake for osteoporosis prevention. It is the classical presentation of the -modern- milk alkali syndrome that presents several characteristics distinguishing it from the -old- syndrome described secondary to peptic ulcer disease treatment. Milk alkali syndrome affects middle-aged female patients taking over-the-counter calcium carbonate. Clinically, these patients present in an acute hypercalcemia crisis, responding rapidly to hydration. The phosphorus level is normal to low. Bisphosphonate should be used cautiously due to the risk of symptomatic hypocalcemia.

AbbreviationsMASMilk alkali syndrome

PTHParathyroid hormone.

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Autor: Alain Waked - Abdallah Geara - Badiaa El-Imad

Fuente: https://link.springer.com/







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