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Case Studies | Pediatrics | Saudi Arabia | Volume 6 Issue 5, May 2017 | Rating: 6.1 / 10
Milk-Alkali Syndrome in a Child with Primary Hypoparathyroidism during Maintenance Therapy
Magbul H. Maghfuri, Magda A. Khazbak, Mariam A. Belail, Alaa A. Hakami, Musa Y. Hakami, Fahad Y. Somili, FatmahY.Gumiry, Amal M. Daghriri, Mohammed A. Alameer, Amnah A. Shubayli, Sabreen M. Asiry, Najwa A. Omara
Abstract: Calcium plays a critical role in neuromuscular excitement and other cellular functions. Therefore, extracellular calcium concentration is maintained within a very narrow range through interaction of calcium regulating hormones such as parathyroid hormone, calcitonin, and vitamin D in the presence of normal renal function. Special attention should be paid to patients on vitamin D and calcium supplementation in situations of dehydration and /or renal insufficiency, even though the usual dose of these supplements are unchanged over time. We report a case presenting with a triad of hypercalcemia, metabolic alkalosis and renal failure secondary to treatment of primary hypoparathyroidism.
Keywords: Key words Hypercalcemia, Hypoparathyroidism, Milk alkali syndrome, Calcium
Edition: Volume 6 Issue 5, May 2017,
Pages: 2632 - 2634