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Korean Journal of Bone Metabolism 2008;15(2):163-168.
Two Cases of Milk-Alkali Syndrome after Taking Calcium Carbonates Recommended Doses
이차성 부갑상선 기능저하증 환자에서 상용량의 탄산 칼슘 복용 후 발생한 우유 알칼리 증후군 2예
김은숙,김미경,송윤미,성필수,한제호,김헌성,박예리,강미자,이강우,임동준,조재형,권혁상,윤건호,차봉연,이광우,손호영,강무일
가톨릭대학교 의과대학 내과학교실 내분비내과
Abstract
Milk-Alkali syndrome is a well-known disease which presents hypercalcemia, alkalosis, renal failure after ingesting large amount of calcium and alkali supplements. Its prevalence had been increasing because of its use for peptic ulcer disease since Sippy regimen had been introduced. In 1980's, it became rare disease after H2 blocker treatment was popular. But recently, its prevalence is increasing because of high incidence of osteoporosis. And frequent use of phosphorus binder in renal failure patients. Secondary hypoparathyroidism mainly developed after total thyroidectomy for thyroid cancer which shows increasing incidence in Korea, also may be the reason attributable to increasing Milk-Alkali syndrome. We present 2 cases of Milk-Alkali syndrome after recommended doses of calcium carbonate supplement in secondary hypothyroidism due to total thyroidectomy. Both cases were all women over 60 years, co-administering vitamin D supplement as risk factors. In high susceptible population for developing Milk-Alkali syndrome, we must pay attention to and be well aware of the disease. [Korean Journal of Bone Metabolism, 15(2): 163-168, 2008]
Key Words: Milk-Alkali syndrome, Calcium carbonate, Secondary hypoparathyroidism
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