Iatrogenic Milk Alkali Syndrome in a Patient Recovering from Acute Renal Failure
Journal Title: Journal of Endocrinology and Diabetes - Year 2016, Vol 3, Issue 3
Abstract
We describe a 49 year old morbidly obese man with iatrogenic milk alkali syndrome. He presented with sepsis resulting in acute renal failure with resultant hyperphosphatemia treated with high dose calcium carbonate. As his renal function improved, the calcium carbonate was continued and he developed high serum calcium with low serum parathyroid hormone. Serum calcium returned to normal with cessation of the calcium carbonate. We performed an extensive literature search that found many case reports and case series recognizing milk alkali syndrome as a common diagnosis of hypercalcemia on presentation. However, hypercalcemia was not a manifestation in our patient on presentation. There is scant literature on the subject of iatrogenic milk alkali syndrome. This complication in a hospitalized patient emphasizes that vigilance is required by the physicians while managing patients with multiple comorbidities, including chronic kidney disease, and numerous medications.
Authors and Affiliations
Hal Scofield, Anum Fayyaz
Keywords
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- EP ID EP333669
- DOI 10.15226/2374-6890/3/3/00150
- Views 93
- Downloads 0
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