Indian Journal of Endocrinology and Metabolism (Jan 2013)

Milk alkali syndrome induced by calcitriol and calcium bicarbonate in a patient with hypoparathyroidism

  • Eda Altun,
  • Bülent Kaya,
  • Saime Paydas,
  • Mustafa Balal

DOI
https://doi.org/10.4103/2230-8210.119568
Journal volume & issue
Vol. 17, no. 7
pp. 191 – 193

Abstract

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The milk-alkali syndrome (MAS) was a common cause of hypercalcemia, metabolic alkalosis, and renal failure in the early 20 th century. This syndrome was first recognized secondary to treatment of peptic ulcer disease with milk and absorbable alkali. Its incidence fell after the introduction of H2-blocker and proton pump inhibitor. Persistent ingestion of calcium carbonate and vitamin D caused MAS. We report a patient presenting with a triad of hypercalcemia, metabolic alkalosis and renal failure secondary to treatment of idiopathic hypoparathyroidism.

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