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Hypocalciuric Hypercalcemia due to Impaired Renal Tubular Calcium Excretion in a Type 2 Diabetic Patient
Joint Authors
Chen, Tao
Tian, Hao-Ming
Yang, Sihao
Ren, Yan
Li, Xi
An, Zhenmei
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The case we presented here was a 73-year-old gentleman, who was admitted to endocrinology department due to recurrent fatigue for 1 year.
He had medical histories of type 2 diabetes for 18 years and developed CKD 4 years ago.
He also suffered from dilated cardiomyopathy, and coronary heart disease, moderate sleep apnea syndrome, primary hypothyroidism, and gout.
His treatment regimen was complicated which included Caltrate D and compound α-keto acid (1200 mg calcium/d).
Laboratory examination revealed that his serum calcium level elevated, 24-hour urine calcium output decreased, PTH level was suppressed, and 25-hydroxyvitamin D was in normal low range.
No other specific abnormalities were found in serum bone turnover markers, ultrasonography, computed tomography, and bone scintigraphy.
The diagnosis was suggested to be hypocalciuric hypercalcemia but was different from familial or acquired hypocalciuric hypercalcemia which were featured by elevated PTH level.
The patient was asked to restrict calcium intake and to take diuretics; then his serum calcium level gradually lowered.
In brief, patients with CKD could present with hypocalciuric hypercalcemia due to impaired renal calcium excretion.
In this case, calcium restriction should be applied for treatment.
American Psychological Association (APA)
Yang, Sihao& Ren, Yan& Li, Xi& Tian, Hao-Ming& An, Zhenmei& Chen, Tao. 2017. Hypocalciuric Hypercalcemia due to Impaired Renal Tubular Calcium Excretion in a Type 2 Diabetic Patient. Case Reports in Endocrinology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145073
Modern Language Association (MLA)
Yang, Sihao…[et al.]. Hypocalciuric Hypercalcemia due to Impaired Renal Tubular Calcium Excretion in a Type 2 Diabetic Patient. Case Reports in Endocrinology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145073
American Medical Association (AMA)
Yang, Sihao& Ren, Yan& Li, Xi& Tian, Hao-Ming& An, Zhenmei& Chen, Tao. Hypocalciuric Hypercalcemia due to Impaired Renal Tubular Calcium Excretion in a Type 2 Diabetic Patient. Case Reports in Endocrinology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145073