Differentiation of Hyperparathyroidism and the Milk-Alkali (Burnett) Syndrome

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Abstract
THE most recent addition to the list of hypercalcemic disorders that may stimulate hyperparathyroidism is the syndrome of excessive intake of milk and absorbable alkali. This interesting condition, first clearly delineated by Burnett and his associates1 in 1949, is characterized especially by hypercalcemia without hypercalciuria, although several other features aid in its identification. In the five years since the original report 10 additional cases have been described, and the nature of the findings in these patients has substantiated the specific identity of the syndrome.2 3 4 5 6 7 Recently, Carpenter and Pautler8 described a patient who demonstrated most of the features outlined by Burnett . . .