Milk alkali syndrome with acute renal failure requiring hemodialysis treatment

Süt alkali sendromu kronik epigastrik ağrı nedeniyle kalsiyum içeren antiasid kullanan hastalarda tanımlanmıştır. Sendrom kalsiyum içeren antiasidlerin yüksek dozda kullanılması sonrası gelişen hiperkalsemi, metabolik alkaloz ve akut böbrek yetmezliği üçlemesinden oluşmaktadır. Modern ülser tedavilerinin gelişmesiyle sıklığı azalan sendrom günümüzde osteoporozun önlenmesi ve tedavisi amacıyla kalsiyum içeren ilaçların kullanımı nedeniyle artmaya başlamıştır. Süt alkali sendromu hiperkalsemi ve diğer komponentleriyle hayatı tehdit edici olabilir. Çalışmamızda kalsiyum içeren antiasid ilacın aşırı dozda kullanılması sonrası gelişen şiddetli hiperkalsemi ve diyaliz tedavisi gerektiren nonoligürik akut böbrek yetmezliği ile başvuran süt alkali sendromlu bir olguyu rapor ettik.

Hemodiyaliz tedavisi gerektiren akut böbrek yetmezlikli süt alkali sendromu olgusu

Milk alkali syndrome was defined in patients with chronic epigastric pain using calcium containing antacids. The syndrome consists of a triad of hypercalcemia, metabolic alkalosis and acute renal failure following using high doses of calcium containing antacids. The decrease in the frequency of this syndrome with the development of modern ulcer treatment recently started to increase with the consumption of calcium containing medicine for the prevention and treatment of osteoporosis. Milk alkali syndrome may be life threatening because of hypercalcemia and other components. We report here a case with milk alkali syndrome after excessive intake of antacids, presenting with severe hypercalcemia and nonoliguric acute renal failure requiring hemodialysis treatment.

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Ege Tıp Dergisi
  • ISSN: 1016-9113
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1962

38b14.5b