*CaCl (680 mmol/L) started at 14 mmol/h (except critical hypo and
hypercalcaemia), adjusted by sys iCa: iCa > 1.2: [down arrow]QCa 1ml/h; iCa: 1.0-1.2: no change; iCa < 1.0: [up arrow]QCa 1 ml/h; iCa < 0.8: [up arrow]QCa 2 ml/h.
Long-term follow-up of patients with idiopathic infantile
hypercalcaemia. Pediatr Nephrol 2006; 21:1676-1680.
Studies of the
hypercalcaemia of sarcoidosis: effect of steroids and exogenous vitamin D3 on the circulating concentrations of 1,25-dihydroxy vitamin D3.
Medical treatment and close monitoring of the mother and fetus were suggested by some experts in cases of mild
hypercalcaemia, while other authors believed that their outcome after surgery was more favourable [16].
Despite the variations in the cut-off points for defining
hypercalcaemia by various studies,
hypercalcaemia has been consistently associated with increased risk for mortality in haemodialysis patients [12,18, 27].
Later, he developed acute renal failure secondary to dehydration and
hypercalcaemia. His condition took a downfall when he developed Pseudomonas septicemia and metabolic acidosis.
Blood pressure is lowered by vitamin D (alphacalcidol) during long-term treatment of patients with intermittent
hypercalcaemia. A double-blind, placebo-controlled study.
The differential diagnosis between primary and secondary hyperparathyroidism was made in our case; we note that secondary hyperparathyroidism was excluded because of the important serum
hypercalcaemia (in secondary hyperparathyroidism the calcium level is normal or low), low phosphorus level, very high value of PTH.
The incidental finding of
hypercalcaemia may not have been due to a paraneoplastic syndrome as the patient underwent excision of a parathyroid adenoma later in 2011.
Calcium channel blocking agents like verapamil, nifedipine and diltiazem are commonly used in the treatment of hypertension, angina, myocardial infarction and supraventricular tachycardia.6 Induction of
hypercalcaemia through intravenous administration of calcium, is usually associated with increased gastric volume and acidity.7,8 The acid stimulating ability of calcium; is well known and there is extreme sensitivity to calcium in patients with Z-E syndrome.9,10 Calcium channel blocker Verapamil may interfere with H+K+ ATP ase due to its high affinity for the site H+K+ATP ase system which is accessible from luminal side of the stomach.11
By the way, changing the inactive lifestyle, medical treatments and using natural food additives are among the solutions that have been reviewed either separately or sometimes interacting with each other in order to control
hypercalcaemia and its side effects [11].
Hypercalcaemia is a common metabolic disorder associated with cancer, and occurs in 10 to 20 percent of people who have cancer.
