title: [Hypercalcemia due to immobilization in critically ill children: calcitnonin treatment].
abstract: OBJECTIVE
  To evaluate the response to calcitonin treatment in critically ill children with hypercalcemia due to immobilization.
  
  
  METHODS
  Four children aged 3-14 years were diagnosed with hypercalcemia due to immobilization. Detected levels of calcemia and ionic calcium ranged from 12.2-13.4 mg/dl and 1.44-2.2 mmol/l respectively. None of the children responded to rehydration or frusemide. Treatment was with subcutaneous and/or intranasal calcitonin at a dose of 6-20 IU /kg/day.
  
  
  RESULTS
  After calcitonin administration, serum calcium decreased progressively until normal calcemia levels were reached between days 4 and 20 of treatment (8.6-10.5 mg/dl). No treatment-related adverse effects or alterations in phosphorus levels or alkaline phosphatases were observed.
  
  
  CONCLUSIONS
  Calcitonin might be an effective treatment for hypercalcemia due to immobilization in critically ill children.
authors: Sección de Cuidados Intensivos Pediátricos. Hospital General Universitario Gregorio Marañón. Madrid.
authors: M
authors: M
authors: Urán Moreno
authors: R
authors: R
authors: Alonso Riofrío
authors: C
authors: C
authors: Moliner Robredo
authors: S
authors: S
authors: Pons Morales
authors: J
authors: J
authors: López-Herce Cid
mesh_terms: D000293:Adolescent; D002116:Calcitonin / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D016638:Critical Illness; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000188:drug therapy* / Q000209:etiology*; D007103:Immobilization / Q000009:adverse effects*; D008297:Male; D012189:Retrospective Studies
chemical_list: D002116:Calcitonin