ArticleBMJ case reports2018
Treatment of extreme hypercalcaemia: the role of haemodialysis.
Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 17 citations in OpenAlex.
- Kidney Transplant Complicated by Severe Parathyroid Hormone-Independent Hypercalcemia From Tumoral Calcinosis.Kidney medicine · 2026Article
- Dialysis for Parathyroid Tumor Crises to Combat Ventricular Arrhythmia Risk: A Report of 2 Cases.JCEM case reports · 2025Article
- Acute Management of Hypercalcemia of Malignancy - A Review of Pathophysiology, Diagnosis, and Treatment.Current oncology reports · 2025Review
- Cerebrospinal Fluid Calcium Balance in Tick-Borne Encephalitis: A Preliminary Study and Future Research Directions.Biomedicines · 2025Article
- Successful management of hypercalcemic crisis by continuous renal replacement therapy with regional citrate anticoagulation and surgery: a case report.Therapeutic advances in endocrinology and metabolism · 2025Article
- Successful Hemodialysis Treatment of Severe Hypercalcemia Following COVID-19 in Multiple Myeloma: A Case Report.The American journal of case reports · 2023Article
- [STEMI mimics : ST elevations on ECG: alternative diagnoses to acute coronary occlusion].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- ISCCM Guidelines on Acute Kidney Injury and Renal Replacement Therapy.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022Article
- Fine-tuned continuous renal replacement therapy with calcium-free dialysate to manage severe hypercalcemia refractory to medical and intermittent hemodialysis.European journal of medical research · 2022Article
- A Review of Current Clinical Concepts in the Pathophysiology, Etiology, Diagnosis, and Management of Hypercalcemia.Medical science monitor : international medical journal of experimental and clinical research · 2022Review
- Neurological symptoms, acute kidney failure and electrocardiogram suggestive of STEMI: who is the culprit?Journal of nephrology · 2021Article
- Challenges in long-term control of hypercalcaemia with denosumab after haematopoietic stem cell transplantation forBone reports · 2021Article
- Rhabdomyolysis and severe biphasic disturbance of calcium homeostasis secondary to COVID-19 infection.BMJ case reports · 2021Article
- Calcium Alkali Syndrome Treated With Hemodialysis.Cureus · 2021Article
- Article
- Management of Severe Hypercalcemia with Continuous Venovenous Hemodialysis and Regional Citrate Anticoagulation: A Case Report.Case reports in nephrology and dialysisArticle
- Acute Pancreatitis Unmasking Primary Hyperparathyroidism: A Case Report.AACE endocrinology and diabetesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A patient with extremely high calcium level of 23.9 mg/dL (5.97 mmol/L) was admitted to our department unconscious with pathological ECG recording, demonstrating shortening of QT interval. The patient was treated by fluid resuscitation, bisphosphonates, salmon calcitonin and steroids. Haemodialysis with low calcium bath had been promptly provided with improvement of consciousness and calcium level. ECG changes disappeared. Subsequent investigations revealed hyperparathyroidism and a large parathyroid adenoma was then surgically removed. Extreme and rapid calcium elevation (parathyroid crisis) is rarely seen in primary hyperparathyroidism and usually is distinctive for malignancy. In the context of acute kidney injury and refractory hypercalcaemia with life-threatening complications (coma, ECG changes with impending danger of arrhythmia), haemodialysis may effectively decrease calcium levels. It should be pointed out that dialysis is an efficient method of treatment of refractory hypercalcaemia, parathyroid crisis, but it is rarely used due to its invasive nature.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.