Etemadi Tamina Rokai, Bosselmann Helle Skovmand
Ugeskr Laeger. 2018 Feb 12;180(7).
This case report is about an 87-year-old woman with Alzheimer's disease and the milk-alkali syndrome, who took calcium carbonate as osteoporosis prophylaxis. We describe, how the milk-alkali syndrome can result in a triad of hypercalcaemia, metabolic alkalosis, and renal insufficiency. The syndrome is now the third most common cause of hypercalcaemia because of the use of calcium carbonate in osteoporosis prophylaxis and treatment, and the syndrome should be considered in patients with hypercalcaemia, as it may result in permanent renal impairment.
本病例报告讲述的是一位患有阿尔茨海默病和乳碱综合征的87岁女性，她服用碳酸钙以预防骨质疏松症。我们描述了乳碱综合征如何导致高钙血症、代谢性碱中毒和肾功能不全三联征。由于在骨质疏松症预防和治疗中使用碳酸钙，该综合征现已成为高钙血症的第三大常见病因，对于高钙血症患者应考虑该综合征，因为它可能导致永久性肾功能损害。
