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A Case of Milk-Alkali Syndrome

Milk-alkali syndrome is described by a triad of elevated levels of calcium, metabolic alkalosis, and acute kidney injury that historically occurred as a result of the combined intake of large amounts of calcium and absorbable alkali. It is becoming common recently with the use of over-the-counter ca...

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Detalles Bibliográficos
Autores principales: Opoku, Isaac, Atemnkeng, Njika, Vila, Nedsely
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224712/
https://www.ncbi.nlm.nih.gov/pubmed/37252584
http://dx.doi.org/10.7759/cureus.38171
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author Opoku, Isaac
Atemnkeng, Njika
Vila, Nedsely
author_facet Opoku, Isaac
Atemnkeng, Njika
Vila, Nedsely
author_sort Opoku, Isaac
collection PubMed
description Milk-alkali syndrome is described by a triad of elevated levels of calcium, metabolic alkalosis, and acute kidney injury that historically occurred as a result of the combined intake of large amounts of calcium and absorbable alkali. It is becoming common recently with the use of over-the-counter calcium supplements for osteoporosis treatment in postmenopausal women. We present a case of a 62-year-old female who presented with generalized weakness. She was noted to have severe hypercalcemia, and impaired renal function with a significant history of daily over-the-counter calcium supplement use and as-needed calcium carbonate use for gastroesophageal reflux disease (GERD). This case highlights the stepwise approach to the evaluation and management of hypercalcemia. She was appropriately treated with the resolution of hypercalcemia and presenting symptoms.
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spelling pubmed-102247122023-05-28 A Case of Milk-Alkali Syndrome Opoku, Isaac Atemnkeng, Njika Vila, Nedsely Cureus Endocrinology/Diabetes/Metabolism Milk-alkali syndrome is described by a triad of elevated levels of calcium, metabolic alkalosis, and acute kidney injury that historically occurred as a result of the combined intake of large amounts of calcium and absorbable alkali. It is becoming common recently with the use of over-the-counter calcium supplements for osteoporosis treatment in postmenopausal women. We present a case of a 62-year-old female who presented with generalized weakness. She was noted to have severe hypercalcemia, and impaired renal function with a significant history of daily over-the-counter calcium supplement use and as-needed calcium carbonate use for gastroesophageal reflux disease (GERD). This case highlights the stepwise approach to the evaluation and management of hypercalcemia. She was appropriately treated with the resolution of hypercalcemia and presenting symptoms. Cureus 2023-04-26 /pmc/articles/PMC10224712/ /pubmed/37252584 http://dx.doi.org/10.7759/cureus.38171 Text en Copyright © 2023, Opoku et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Opoku, Isaac
Atemnkeng, Njika
Vila, Nedsely
A Case of Milk-Alkali Syndrome
title A Case of Milk-Alkali Syndrome
title_full A Case of Milk-Alkali Syndrome
title_fullStr A Case of Milk-Alkali Syndrome
title_full_unstemmed A Case of Milk-Alkali Syndrome
title_short A Case of Milk-Alkali Syndrome
title_sort case of milk-alkali syndrome
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224712/
https://www.ncbi.nlm.nih.gov/pubmed/37252584
http://dx.doi.org/10.7759/cureus.38171
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