Hüseyin KARAASLAN, Mehmet Nuri TURAN, Mehmet Ali EREN, Tevfik SABUNCU

Hayatı Tehdit Eden Hiperkalsemi ile Başvuran Hipoparatiroidi Olgusu

Süt-alkali sendromu ilk olarak peptik ülser hastalığı nedeniyle kalsiyum içeren antiasitleri yüksek dozda kullanan hastalarda tanımlanmıştır. Hiperkalsemi, metabolik alkaloz ve akut böbrek yetmezliği üçlemesinden oluşmaktadır. Sendromun modern ülser tedavilerinin geliştirilişiyle azalan görülme sıklığı, günümüzde osteoporoz ve renal osteodistrofi nedeniyle kalsiyum kullanımına bağlı olarak yeniden artmaya başlamıştır. Bu sunumda idiyopatik hipoparatiroidizm nedeniyle kalsiyum karbonat ve aktif D vitamini tedavisi altında iken kliniğimize hayatı tehdit eden hiperkalsemi, metabolik alkaloz ve akut böbrek yetmezliği tablosu ile başvuran bir hastayı anlatmaktayız

Anahtar Kelimeler:

hipoparatiroidizm, hiperkalsem, süt-alkali sendromu

Life-threatening Hypercalcemia in a Patient with Hypoparathyroidism

Milk-alkali syndrome was first described in patients using high dose antacid drugs for peptic ulcer. The triad of the syndrome is hypercalcemia, metabolic alkalosis, and acute renal failure. The incidence of the syndrome that decreased after the development of modern ulcer treatments has currently been increasing again due to the use of calcium-containing medicine for osteoporosis and renal osteodystrophy. In this report, we present a patient who had been under calcium carbonate and active vitamin D treatment due to idiopathic hypoparathyroidism and presented with life-threatening hypercalcemia, metabolic alkalosis, and acute renal failure.

Keywords:

hypoparathyroidism, hypercalcemia, milk-alkali syndrome,

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