Rapid Appearance of Hypercalcemia With Initiation of Hemodialysis
- 22 December 1969
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 210 (12) , 2276-2278
- https://doi.org/10.1001/jama.1969.03160380090025
Abstract
Symptomatic hypercalcemia developed in a patient with chronic renal failure within three weeks of initiation of adequate hemodialysis. He had anorexia, nausea, vomiting, pruritus, dysesthias, parasthesias, confusion, disorientation, and hypertension; these symptoms were controlled only after subtotal parathyroidectomy. Adequate hemodialysis may, in rare instances, unmask manifestations of preexisting secondary hyperparathyroidism in a manner similar to that observed after renal transplantation. The symptoms were very intense, and it is possible that uremia may increase the sensitivity to symptoms of hypercalcemia.Keywords
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