Milk-alkali syndrome

(Redirected from Milk alkali syndrome)

Background

  • Definition: Hypercalcemia due to increased calcium intake in the setting of renal failure
  • 3rd most common cause of hypercalcemia, after hyperparathyroidism and malignancy

Clinical Features

Differential Diagnosis

Causes of Hypercalcemia

Evaluation

  • High calcium
  • Alkalosis
  • Normal or high serum phosphate
  • Low serum PTH
  • Normal serum 25(OH)D
  • Normal or low 1,25(OH)D

Management

  • Hydration
  • Avoidance of calcium / alkali intake

Disposition

  • Hospitalization for IV hydration in severe cases

See Also

External Links

References

Authors:

Ross Donaldson