Hypercalcemia and human nature.

摘要: Patients on hemodialysis may develop severe and symptomatic hypercalcemia if skeletal buffering is ineffective. We report a case of persistent with apparent extrarenal vitamin D synthesis. Associated aluminium intoxication was suggested desferrioxamine challenge adynamic uremic osteodystrophy confirmed bone biopsy. Plasma calcitriol did not suppress corticosteroids but ketoconazole. No other evidence for underlying granulomatous disease found. discuss our approach to less usual causes hypercalcemia, emphasise the pitfalls associated factitious disorders.