Hypercalcemia and peptic ulcer disease-related Milk-alkali syndrome.
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.
Grundfast
Matthew B
MB
Department of Gastroenterology and Nutrition, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822-2111, USA.
Still
Christopher D
CD
Komar
Michael J
MJ