Hypercalcemia and Milk Alkali Syndrome: A Case Report

  • Kriti Seth
  • Nalini Kharbanda
Keywords: Hypercalcemia, Milk Alkali Syndrome, Calcium

Abstract

A triad of metabolic alkalosis, hypercalcemia and renal insufficiency constitutes the milk alkali syndrome. Elderly subjects, especially those on drugs that GFR are more prone to acquire this syndrome. Those who take calcium supplements have high chances of developing milk alkali syndrome and this stands amongst the top five causes of hypercalcemia. Herein we present a case of hypercalcemia who was taking only small amount of calcium supplements but had a few concomitant risk factors.

Downloads

Download data is not yet available.

Author Biographies

Kriti Seth

MBBS, Private Practitioner, Gayatri Multispeciality Clinic, 293/6, Near Poly City, Rudrapur, Uttarakhand 263153

Nalini Kharbanda

MDS, Oral Surgery (Consultant Dental Surgeon), Gayatri Multispeciality Clinic, 293/6, Near Poly City, Rudrapur, Uttarakhand 263153

References

1. Felsenfeld AJ, Levine BS. Milk alkali syndrome and the dynamics of calcium homeostasis. Clin J Am Soc Nephrol. 2006;1(4):641-54.
2. Medarov BI. Milk-alkali syndrome. Mayo Clin Proc. 2009 Mar;84(3):261-7. doi: 10.1016/S0025-6196(11)61144-0. PMID: 19252114; PMCID: PMC2664604.
3. Kohler S, Schmid C, Krayenbühl PA. Hyperkalzämie. Praxis (Bern 1994). 2009 Mar 4;98(5):233-40. doi: 10.1024/1661-8157.98.5.233.
4. Cope CL. Base changes in the alkalosis produced by the treatment of gastric ulcer with alkalies. Clin Sci. 1936;2:287-300.
5. Beall DP, Scofield RH. Milk-alkali syndrome associated with calcium carbonate consumption: report of 7 patients with parathyroid hormone levelsand an estimate of prevalence among patientsbhospitalized with hypercalcemia. Medicine (Baltimore). 1995;74(2):89-96.
6. Patel AM, Goldfarb S. Got calcium? Welcome to the calcium-alkali syndrome. J Am Soc Nephrol. 2010 Sep;21(9):1440-3. doi: 10.1681/ASN.2010030255.
7. Kapsner P, Langsdorf L, Marcus R, Kraemer FB, Hoffman AR. Milk-alkali syndrome in patients treated with calcium carbonate after cardiac transplantation. Arch Intern Med. 1986;146(10):1965-8.
CITATION
DOI: 10.26440/IHRJ/0312.03326
Published: 2020-03-24
How to Cite
1.
Kriti Seth, Nalini Kharbanda. Hypercalcemia and Milk Alkali Syndrome: A Case Report. IHRJ [Internet]. 2020Mar.24 [cited 2024Mar.29];3(12):380-2. Available from: https://ihrjournal.com/ihrj/article/view/326