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Severe hypercalcemia with decreased renal function, hypertension, and renal calcifications developed in a 14-year-old boy who required prolonged immobilization for multiple fractures. Parathyroid hormone was not detectable in the serum. Urinary calcium excretion was high. Initially, mobilization was impossible and the patient was treated with a high fluid intake, low calcium intake, acidification of the urine, furosemide, and a passive exercise program. Renal function improved and renal calcifications resolved but hypercalcemia did not resolve. After mobilization the serum calcium concentration became normal rapidly. This treatment regimen is suggested for use in patients with immobilization hypercalcemia when mobilization is impossible.
S B Conley, and
G D Shackelford, and
A M Robson
April 1994,
Internal medicine (Tokyo, Japan),
S B Conley, and
G D Shackelford, and
A M Robson
August 1978,
Kidney international,
S B Conley, and
G D Shackelford, and
A M Robson
January 1952,
Transactions of the American Clinical and Climatological Association,
S B Conley, and
G D Shackelford, and
A M Robson
February 1968,
Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
S B Conley, and
G D Shackelford, and
A M Robson
July 1992,
Schweizerische medizinische Wochenschrift,
S B Conley, and
G D Shackelford, and
A M Robson
June 1992,
American journal of kidney diseases : the official journal of the National Kidney Foundation,
S B Conley, and
G D Shackelford, and
A M Robson
April 1980,
Srpski arhiv za celokupno lekarstvo,
S B Conley, and
G D Shackelford, and
A M Robson
January 1974,
Medecine & chirurgie digestives,
S B Conley, and
G D Shackelford, and
A M Robson
November 2006,
Der Internist,
S B Conley, and
G D Shackelford, and
A M Robson
January 1959,
Verhandlungen der Deutschen Gesellschaft fur Innere Medizin,
