Disodium pamidronate for treating severe hypercalcemia in a hemodialysis patient

被引:9
作者
Trimarchi, Hernan
Lombi, Fernando
Forrester, Mariano
Elizondo, Cristina
Sawinski, Deirdre
Pereyra, Horacio
Freixas, Emilio
机构
[1] Hosp Britan Buenos Aires, Dept Med, Renal Sect, RA-1280 Buenos Aires, DF, Argentina
[2] Hosp Britan Buenos Aires, Dept Med, Renal Transplant Unit, RA-1280 Buenos Aires, DF, Argentina
[3] Hosp Britan Buenos Aires, Dept Med, Renal Pancreas Transplant Unit, RA-1280 Buenos Aires, DF, Argentina
[4] Hosp Britan Buenos Aires, Div Nephrol, Buenos Aires, DF, Argentina
[5] Hosp Britan Buenos Aires, Internal Med Serv, Buenos Aires, DF, Argentina
[6] Columbia Univ, Med Ctr, New York, NY USA
来源
NATURE CLINICAL PRACTICE NEPHROLOGY | 2006年 / 2卷 / 08期
关键词
bisphosphonates; hemodialysis; hypercalcemia; multiple myeloma; pamidronate;
D O I
10.1038/ncpneph0248
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background A 48-year-old man with a recent diagnosis of multiple myeloma and rapidly progressive oliguric end-stage renal disease requiring hemodialysis, presented with a serum calcium concentration of 3.4 mmol/l (13.6 mg/dl). Investigations Serum laboratory analysis, electroencephalogram, MRI of the brain and bone marrow, and kidney biopsies. Diagnosis Hypercalcemia secondary to multiple myeloma. Management Short-term intravenous disodium pamidronate therapy (30 mg daily) and daily monitoring of serum calcium concentration.
引用
收藏
页码:459 / 463
页数:5
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