Department of Internal Medicine, Mayo Clinic, Scottsdale, Arizona.
Endocr Pract. 2013 Nov-Dec;19(6):142-4. doi: 10.4158/EP13080.CR.
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.
An extensive literature search was performed to see if milk-alkali syndrome due to nicotine-replacement gum and carbonated water has been previously reported.
No prior report describing the association of milk alkali syndrome with nicotine-replacement gum and carbonated water was found.
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.
本报告描述了一位 64 岁反复出现高钙血症的女性。她的实验室检查符合乳碱综合征。最终发现，钙摄入过多的来源是尼古丁替代口香糖和碳酸水。
进行了广泛的文献检索，以确定以前是否有报道过因尼古丁替代口香糖和碳酸水引起的乳碱综合征。
未发现先前描述过尼古丁替代口香糖和碳酸水与乳碱综合征之间关联的报告。
我们报告了一例由尼古丁替代口香糖和碳酸水引起的乳碱综合征的独特病例。这提醒我们要评估除钙补充剂以外的其他来源是否为钙摄入过多的原因。
