Calcium-Alkali Syndrome: Historical Review, Pathophysiology and Post-Modern Update.

acid-base disorders calcium alkali syndrome calcium alkali thiazide syndrome calcium metabolism calcium therapy dietary calcium intake electrolyte disturbances electrolyte imbalance milk alkali syndrome milk-alkali

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
11 Feb 2021
Historique:
entrez: 18 3 2021
pubmed: 19 3 2021
medline: 19 3 2021
Statut: epublish

Résumé

Milk-alkali syndrome or calcium-alkali syndrome (CAS) is the triad of hypercalcemia, metabolic alkalosis and renal impairment. It is often related to ingestion of high amounts of calcium carbonate, which was used historically for the treatment of peptic ulcer disease. The incidence of the syndrome decreased dramatically after the introduction of newer peptic ulcer medications such as proton pump inhibitors and histamine blocking agents. However, a resurgence was seen in the late 1980s with the wide use of over-the-counter calcium supplements, mainly by females for osteoporosis prophylaxis. The modern version of the syndrome continues to evolve along with medical management. This review focuses on the historical context of CAS, pathogenesis, resurgence of the condition with variable presentations, and contemporary management.

Identifiants

pubmed: 33732556
doi: 10.7759/cureus.13291
pmc: PMC7955894
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e13291

Informations de copyright

Copyright © 2021, Zayed et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Randa F Zayed (RF)

Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, USA.

Paul W Millhouse (PW)

General Practice, Drexel University College of Medicine, Philadelphia, USA.

Farnaz Kamyab (F)

Architecture, Arts and Humanities, Clemson University, Clemson, USA.

Juan Fernando Ortiz (JF)

Neurology, Universidad San Francisco de Quito, Quito, ECU.
Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Adam Atoot (A)

Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, USA.

Classifications MeSH