Calcium-Alkali Syndrome-Like Symptoms Manifested by Daily Alphacalcidol and Thiazide
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概要
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A 73-year-old man was admitted with complaints of a 2-month history of generalized weakness and numbness. Laboratory examination revealed hypercalcemia, metabolic alkalosis, and kidney injury, similar to the traditional milk-alkali syndrome. The clinical history and the response to therapy indicated that alphacalcidol and thiazide taken daily were the cause. Recently, it has been recommended the term "milk-alkali syndrome" be replaced by "calcium-alkali syndrome", which broadens the definition of the condition. This case suggests that the calcium-alkali syndrome can occur without calcium and alkali, but rather with alphacalcidol and a thiazide diuretic.
著者
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Sasaki Sei
Department Of Nephrology Graduate School Of Medicine Tokyo Medical And Dental University
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Rai Tatemitsu
Department Of Nephrology Graduate School Of Medicine Tokyo Medical And Dental University
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Okado Tomokazu
Department Of Nephrology Graduate School Of Medicine Tokyo Medical And Dental University
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Iwamoto Mari
Department Of Cardiovascular Medicine Yokohama City University Medical Center
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Uchida Shinichi
Department Of Applied Physics Faculty Of Engineering University Of Tokyo
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Noda Yumi
Department Of Autonomic Physiology Medical Research Institute Tokyo Medical And Dental University
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Ohta Akihito
Department Of Nephrology Graduate School Of Medical And Dental Sciences Tokyo Medical And Dental Uni
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Sohara Eisei
Department Of Nephrology Graduate School Of Medical And Dental Sciences Tokyo Medical And Dental Uni
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SASAKI Sei
Department of Nephrology, Tokyo Medical and Dental University
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Iwamoto Mari
Department of Nephrology, Tokyo Medical and Dental University
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Satoh Fumie
Department of Nephrology, Tokyo Medical and Dental University
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Akita Wataru
Department of Nephrology, Tokyo Medical and Dental University
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Wakabayashi Mai
Department of Nephrology, Tokyo Medical and Dental University
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