Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism

Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism

Calcium alkali syndrome (CAS), a relatively unusual etiology of hypercalcemia, is characterized by a classical triad of hypercalcemia, azotemia, and metabolic alkalosis. This condition has been described in patients who have taken an excess dose of calcium with an alkali or with a volume-depletion s...

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Main Authors: Wannita Tingsarat, Chalermchai Lertanasit, Jaruwan Kongkit, Thiti Snabboon
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2019/3503651
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spelling doaj-c450a21f3ac244f7b30bfa7c6900e4632020-11-25T01:34:56ZengHindawi LimitedCase Reports in Endocrinology2090-65012090-651X2019-01-01201910.1155/2019/35036513503651Hypercalcemic Crisis in a Patient with Post-Surgical HypoparathyroidismWannita Tingsarat0Chalermchai Lertanasit1Jaruwan Kongkit2Thiti Snabboon3Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandCalcium alkali syndrome (CAS), a relatively unusual etiology of hypercalcemia, is characterized by a classical triad of hypercalcemia, azotemia, and metabolic alkalosis. This condition has been described in patients who have taken an excess dose of calcium with an alkali or with a volume-depletion status. To diagnose CAS it requires a high index of suspicion and a detailed history of medication/supplement intake specifically for calcium-containing drugs and a history of all possible ingested alkali. We reported a case of post-surgical hypoparathyroidism whom later on was presented with hypercalcemic crisis due to CAS. The proposed mechanism of CAS and management are also included.http://dx.doi.org/10.1155/2019/3503651
collection DOAJ
language English
format Article
sources DOAJ
author Wannita Tingsarat
Chalermchai Lertanasit
Jaruwan Kongkit
Thiti Snabboon
spellingShingle Wannita Tingsarat
Chalermchai Lertanasit
Jaruwan Kongkit
Thiti Snabboon
Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism
Case Reports in Endocrinology
author_facet Wannita Tingsarat
Chalermchai Lertanasit
Jaruwan Kongkit
Thiti Snabboon
author_sort Wannita Tingsarat
title Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism
title_short Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism
title_full Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism
title_fullStr Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism
title_full_unstemmed Hypercalcemic Crisis in a Patient with Post-Surgical Hypoparathyroidism
title_sort hypercalcemic crisis in a patient with post-surgical hypoparathyroidism
publisher Hindawi Limited
series Case Reports in Endocrinology
issn 2090-6501
2090-651X
publishDate 2019-01-01
description Calcium alkali syndrome (CAS), a relatively unusual etiology of hypercalcemia, is characterized by a classical triad of hypercalcemia, azotemia, and metabolic alkalosis. This condition has been described in patients who have taken an excess dose of calcium with an alkali or with a volume-depletion status. To diagnose CAS it requires a high index of suspicion and a detailed history of medication/supplement intake specifically for calcium-containing drugs and a history of all possible ingested alkali. We reported a case of post-surgical hypoparathyroidism whom later on was presented with hypercalcemic crisis due to CAS. The proposed mechanism of CAS and management are also included.
url http://dx.doi.org/10.1155/2019/3503651
work_keys_str_mv AT wannitatingsarat hypercalcemiccrisisinapatientwithpostsurgicalhypoparathyroidism
AT chalermchailertanasit hypercalcemiccrisisinapatientwithpostsurgicalhypoparathyroidism
AT jaruwankongkit hypercalcemiccrisisinapatientwithpostsurgicalhypoparathyroidism
AT thitisnabboon hypercalcemiccrisisinapatientwithpostsurgicalhypoparathyroidism
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