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Case Studies | Pediatrics | Saudi Arabia | Volume 6 Issue 5, May 2017
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