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

Abstract

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.

• Authors: Eda Altun, Bülent Kaya, Saime Paydaş, Mustafa Balal
• Journal: Indian journal of endocrinology and metabolism (Indian J Endocrinol Metab) Vol. 17 Issue Suppl 1 Pg. S191-3 (Oct 2013) ISSN: 2230-8210 [Print] India
• PMID: 24251155 (Publication Type: Case Reports)