title: Hypercalcemia and peptic ulcer disease-related Milk-alkali syndrome.
abstract: Milk-alkali syndrome was considered "extinct" by 1985 because of the advent of non-alkaline ulcer medications (ie, histamine-2 receptor blockers and proton pump inhibitors). At that time, it was thought to cause <1% of hypercalcemia, which occurred when one ingested a sufficient quantity of calcium and alkali together. This case emphasizes the importance of considering this syndrome in patients who self-medicate for control of symptoms related to gastroesophageal reflux and peptic ulcer disease and for those using calcium supplementation for prevention or treatment of osteoporosis.
authors.affiliation: Department of Gastroenterology and Nutrition, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822-2111, USA.
authors.forename: Matthew B
authors.initials: MB
authors.lastname: Grundfast
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Still
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Komar