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Increased skeletal uptake of Tc-99m methylene diphosphonate in milk-alkali syndrome. | LitMetric

AI Article Synopsis

  • A 34-year-old man developed milk-alkali syndrome after using an over-the-counter antacid for gastroesophageal reflux, leading to hypercalcemia.
  • A Tc-99m MDP bone scan showed abnormal results resembling patterns found in conditions like hyperparathyroidism.
  • After stopping the antacid and calcium intake, both the bone scan and biochemical markers returned to normal, indicating recovery.

Article Abstract

A case of milk-alkali syndrome is described in a 34-year-old man taking an over-the-counter antacid preparation for gastroesophageal reflux. A Tc-99m MDP bone scan performed in the initial investigation of the hypercalcemia was markedly abnormal with a "metabolic" pattern of tracer uptake similar to that seen in hyperparathyroidism and humoral hypercalcemia. Following withdrawal of the antacid and calcium, the bone scan appearance returned to normal, as did the biochemical markers of his disease.

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Source
http://dx.doi.org/10.1097/00003072-199403000-00008DOI Listing

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