Hypercalcemia in Diuretic Phase of Acute Renal Failure

Letters and Comments1 July 1970Hypercalcemia in Diuretic Phase of Acute Renal FailureARTHUR LEONARD, M.D., ROBERT J. NELMS JR., M.D.ARTHUR LEONARD, M.D.Search for more papers by this author, ROBERT J. NELMS JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-73-1-137 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: We recently observed a 19-year-old Marine who developed acute renal failure due to heat stroke with attendant exertional rhabdomyolysis, infection, and disseminated intravascular coagulation. After oliguria passed, hypercalcemia to 12.2 mg/100 ml, red eyes (1, 2), and biochemical abnormalities suggestive of hyperparathyroidism developed; total urinary calcium was 257 mg; phosphate clearance, 17.3 ml/min; tubular reabsorption of phosphate (TRP), 79%; and phosphate excretion index, 0.121. Renal biopsy performed on the 21st diuretic day was "consistent with the late, healing phase of acute tubular necrosis"; in addition, dark-staining deposits identified as calcium-containing by von Kossa stain were seen in...References1. BERLYNESHAW GA: Red eyes in renal failure. Lancet 1:4-7, 1967 CrossrefMedlineGoogle Scholar2. BERLYNE G: Microcrystalline conjunctival calcification in renal failure. A useful clinical sign. Lancet 2:366-370 1968 CrossrefMedlineGoogle Scholar3. LEONARDEICHNER CE: Acute renal failure and transient hypercalcemia in idiopathic rhabdomyolysis. JAMA 211: 1539-1540, 1970 CrossrefMedlineGoogle Scholar4. TAVILLEVANSONBAKER AJSD: Idiopathic paroxysmal myoglobinuria with acute renal failure and hypercalcemia. New Eng J Med 271:283-287, 1964 CrossrefMedlineGoogle Scholar5. SEGALMILLERMOSES AMA: Hypercalcemia in acute renal failure. Ann Intern Med 68:1066-1068, 1968 LinkGoogle Scholar6. GOSSMANLANGE HH: Hypercalcemia in acute renal failure. Ann Intern Med 69:1332, 1968 LinkGoogle Scholar7. TURKINGTONDELCHERNEELON RHF: Hypercalcemia following acute renal failure. J Clin Endocr 28:1224-1226, 1968 CrossrefMedlineGoogle Scholar8. BUTIKOFERMOLLEYRES EJ: Akute ischamische Muskelnekrosen, reversible Muskelverkalkungen und sekundare Hypercalciamie bei akuter Anurie. Schweiz Med Wschr 98: 961-965, 1968 MedlineGoogle Scholar9. HAMPERSKATZWILSON CAR: Disappearance of "uremic" itching after subtotal parathyroidectomy. New Eng J Med 279:695-697, 1968 CrossrefMedlineGoogle Scholar10. MASSRYPOPOVTZERCOBURN SMJ: Intractable pruritis as a manifestation of hyperparathyroidism in uremia. New Eng J Med 279:697-700, 1968 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Naval Hospital Corpus Christi, Tex. 78419 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySevere hypercalcaemia four months after acute oliguric renal failure—successful treatment with intravenous clodronateHeat stroke and related heat stress disordersMineral Metabolism in Health and DiseaseAcute drug-associated rhabdomyolysis: an examination of its diverse renal manifestations and complicationsResolution of Muscle Calcification in Rhabdomyolysis and Acute Renal FailureMOHAMMAD AKMAL, M.D., DAVID A. GOLDSTEIN, M.D., NANCY TELFER, M.D., EVELYN WILKINSON, M.D., SHAUL G. MASSRY, M.D.Reversible Muskelverkalkungen bei akutem NierenversagenTransient hypercalcaemia following acute renal failure.Hypercalcemia of acute renal failureAcute Renal Failure Due to Nontraumatic RhabdomyolysisALAN KOFFLER, M.D., ROBERT M. FRIEDLER, M.D., SHAUL G. MASSRY, M.D., F.A.C.P.Nontraumatic Rhabdomyolysis and Acute Renal FailureDivalent ion metabolism in patients with acute renal failure: Studies on the mechanism of hypocalcemiaAcute renal failure complicating McArdle's syndromeAcute Renal FailureAcute Renal Failure in McArdle's Disease 1 July 1970Volume 73, Issue 1Page: 137-138KeywordsAcute renal failureDiureticsExcretionHypercalcemiaHyperparathyroidismNecrosisPhosphatesRhabdomyolysisStrokeTyrosine related protein Issue Published: 1 July 1970 PDF DownloadLoading ...