Nicotine-substitute gum-induced milk alkali syndrome: a look at unexpected sources of calcium.
| Autor: | Swanson CM; Department of Internal Medicine, Mayo Clinic, Scottsdale, Arizona., Mackey PA, Westphal SA, Argueta R |
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| Jazyk: | angličtina |
| Zdroj: | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists [Endocr Pract] 2013 Nov-Dec; Vol. 19 (6), pp. 142-4. |
| DOI: | 10.4158/EP13080.CR |
| Abstrakt: | Objective: This report describes a 64-year-old woman with recurrent hypercalcemia. Her laboratory evaluation was consistent with milk-alkali syndrome. It was eventually discovered that the source of the excessive calcium consumption was nicotine-replacement chewing gum and carbonated water. Methods: An extensive literature search was performed to see if milk-alkali syndrome due to nicotine-replacement gum and carbonated water has been previously reported. Results: No prior report describing the association of milk alkali syndrome with nicotine-replacement gum and carbonated water was found. Conclusion: We present a unique case of milk-alkali syndrome due to nicotine-replacement gum and carbonated water. It serves as a lesson to evaluate other sources besides calcium supplements as the cause of excessive calcium intake. |
| Databáze: | MEDLINE |
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