A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing
Due to abnormalities in bone metabolism and an inability to produce normal vitamin D levels in the skin, patients with extensive burns often present with hypocalcemia, not hypercalcemia. In this report, we present a rare case of acute hypercalcemia caused by silver-containing calcium alginate fibers...
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2020-01-01
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doaj-39f0ae31b4bc4b79be1e5ad8fb23bad62020-11-25T02:21:16ZengElsevierBurns Open2468-91222020-01-01412830A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressingHideki Asai0Naoki Maegawa1Yasuyuki Urisono2Yasuyuki Kawai3Akinori Okuda4Keisuke Takano5Yusuke Tada6Toru Osaki7Hidetada Fukushima8Corresponding author at: Shijo-cho, 840, Kashihara City, Nara, Japan.; Department of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, JapanDue to abnormalities in bone metabolism and an inability to produce normal vitamin D levels in the skin, patients with extensive burns often present with hypocalcemia, not hypercalcemia. In this report, we present a rare case of acute hypercalcemia caused by silver-containing calcium alginate fibers as a dressing in a patient with extensive burn injury. The patient had been treated with oral calcium formulation because of hypocalcemia. We applied silver-containing calcium alginate fibers to raw surface area after the first skin grafting surgery, and the calcium level corrected for the serum albumin level continued to rise up to 15.4 mg/dl with this dressing form even after discontinuation of oral calcium preparations. Cessation of the use of this dressing resulted in a sharp drop in blood calcium levels. Therefore, we concluded that the cause of the hypercalcemia was the absorption of calcium ions eluted from the silver-containing calcium alginate fibers. Our findings suggest that dressings may cause hypercalcemia in patients with extensive burns, and that physicians should be attentive to the dressings used in burn wound care. Keywords: Hypercalcemia, Silver-containing calcium alginate fibers, Extensive burnhttp://www.sciencedirect.com/science/article/pii/S2468912219300574 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hideki Asai Naoki Maegawa Yasuyuki Urisono Yasuyuki Kawai Akinori Okuda Keisuke Takano Yusuke Tada Toru Osaki Hidetada Fukushima |
spellingShingle |
Hideki Asai Naoki Maegawa Yasuyuki Urisono Yasuyuki Kawai Akinori Okuda Keisuke Takano Yusuke Tada Toru Osaki Hidetada Fukushima A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing Burns Open |
author_facet |
Hideki Asai Naoki Maegawa Yasuyuki Urisono Yasuyuki Kawai Akinori Okuda Keisuke Takano Yusuke Tada Toru Osaki Hidetada Fukushima |
author_sort |
Hideki Asai |
title |
A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing |
title_short |
A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing |
title_full |
A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing |
title_fullStr |
A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing |
title_full_unstemmed |
A case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing |
title_sort |
case of extensive burn injury with hypercalcemia caused by calcium ion absorption from the wound dressing |
publisher |
Elsevier |
series |
Burns Open |
issn |
2468-9122 |
publishDate |
2020-01-01 |
description |
Due to abnormalities in bone metabolism and an inability to produce normal vitamin D levels in the skin, patients with extensive burns often present with hypocalcemia, not hypercalcemia. In this report, we present a rare case of acute hypercalcemia caused by silver-containing calcium alginate fibers as a dressing in a patient with extensive burn injury. The patient had been treated with oral calcium formulation because of hypocalcemia. We applied silver-containing calcium alginate fibers to raw surface area after the first skin grafting surgery, and the calcium level corrected for the serum albumin level continued to rise up to 15.4 mg/dl with this dressing form even after discontinuation of oral calcium preparations. Cessation of the use of this dressing resulted in a sharp drop in blood calcium levels. Therefore, we concluded that the cause of the hypercalcemia was the absorption of calcium ions eluted from the silver-containing calcium alginate fibers. Our findings suggest that dressings may cause hypercalcemia in patients with extensive burns, and that physicians should be attentive to the dressings used in burn wound care. Keywords: Hypercalcemia, Silver-containing calcium alginate fibers, Extensive burn |
url |
http://www.sciencedirect.com/science/article/pii/S2468912219300574 |
work_keys_str_mv |
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