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Nat Clin Pract Nephrol. 2006 Aug;2(8):459-63; quiz 464.

Disodium pamidronate for treating severe hypercalcemia in a hemodialysis patient.

Author information

  • 1Department of Medicine, Hospital Brit├ínico de Buenos Aires, Argentina. htrimarchi@hotmail.com

Abstract

BACKGROUND:

A 48-year-old man with a recent diagnosis of multiple myeloma and rapidly progressive oliguric end-stage renal disease requiring hemodialysis, presented with a serum calcium concentration of 3.4 mmol/l (13.6 mg/dl).

INVESTIGATIONS:

Serum laboratory analysis, electroencephalogram, MRI of the brain and bone marrow, and kidney biopsies.

DIAGNOSIS:

Hypercalcemia secondary to multiple myeloma.

MANAGEMENT:

Short-term intravenous disodium pamidronate therapy (30 mg daily) and daily monitoring of serum calcium concentration.

PMID:
16932480
DOI:
10.1038/ncpneph0248
[PubMed - indexed for MEDLINE]
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