Internal medicine (Tokyo, Japan) · 2010
Calcium-alkali syndrome-like symptoms manifested by daily alphacalcidol and thiazide.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Satoh Fumie, Okado Tomokazu, Iwamoto Mari, Akita Wataru, Wakabayashi Mai, Ohta Akihito, Sohara Eisei, Noda Yumi, Rai Tatemitsu, Uchida Shinichi, Sasaki Sei
Аннотация
A 73-year-old man was admitted with complaints of a 2-month history of generalized weakness and numbness. Laboratory examination revealed hypercalcemia, metabolic alkalosis, and kidney injury, similar to the traditional milk-alkali syndrome. The clinical history and the response to therapy indicated that alphacalcidol and thiazide taken daily were the cause. Recently, it has been recommended the term "milk-alkali syndrome" be replaced by "calcium-alkali syndrome", which broadens the definition of the condition. This case suggests that the calcium-alkali syndrome can occur without calcium and alkali, but rather with alphacalcidol and a thiazide diuretic.
Предметные рубрики MeSH
Acute Kidney InjuryAgedBlood Chemical AnalysisCombined Modality TherapyDisease ProgressionDose-Response Relationship, DrugDrug Administration ScheduleFollow-Up StudiesHumansHydrochlorothiazideHydroxycholecalciferolsHypercalcemiaKidney Function TestsMaleRisk AssessmentSeverity of Illness IndexTreatment Outcome