Extreme hypercalcaemia caused by immobilisation due to acute spinal cord injury.

BMJ Case Rep

Internal Medicine, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands

Published: June 2021

Hypercalcaemia due to immobilisation is an uncommon diagnosis and requires extensive evaluation to rule out common causes of hypercalcaemia such as primary hyperparathyroidism and malignancy.We report an unusual case of profound hypercalcaemia due to immobilisation in a young man due to acute spinal cord ischaemia, leading to paraplegia. Other causes of hypercalcaemia were ruled out and elevated bone turnover markers supported our hypothesis. Conventional treatment with intravenous fluids, bisphosphonates and diuretics was insufficient. Subcutaneous calcitonin lowered the plasma calcium acutely and was continued for 8 weeks. Subsequent normocalcaemia was sustained for 2 years.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174501PMC
http://dx.doi.org/10.1136/bcr-2020-241386DOI Listing

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