Evidence map›Paper›PMID 40500389›Full record

ReviewOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

Prolonged hypercalcemia induced by teriparatide: a case report and literature review.

Jing Lin, Paula Permatasari Tjokrosaputro, Bee Hwee Ang, Chee Kian Chew, Chuanhui Xu

Abstract readCase ReportsReview
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In one paragraph

Review in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jing LinDepartment of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore, Singapore.
Paula Permatasari TjokrosaputroRheumatology Service, Department of Medicine, Woodlands Health, Singapore, Singapore.
Bee Hwee AngDivision of Pharmacy, Tan Tock Seng Hospital, Singapore, Singapore.
Chee Kian ChewDepartment of Endocrinology, Tan Tock Seng Hospital, Singapore, Singapore.
Chuanhui XuDepartment of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore, Singapore. xuchuanhui2008@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Teriparatide is indicated for the treatment of osteoporosis with a high risk of fractures. While transient hypercalcemia is a commonly reported side effect, we report a case of prolonged hypercalcemia associated with teriparatide. The patient was a 76-year-old female who had postmenopausal and glucocorticoid-induced osteoporosis on the background of rheumatoid arthritis since 2005. After failing treatment with etidronate, alendronate, and denosumab in view of minimal improvement in bone density and multiple fragility fractures, she was started on teriparatide on 5 May 2023. Serial serum calcium levels were all normal before the initiation of teriparatide. However, she was noted to have prolonged asymptomatic hypercalcemia after 3 months of teriparatide therapy, with a peak calcium level of 11.78 mg/dl on 27 September 2023. Teriparatide was discontinued since 27 September 2023 and normalization of serum calcium was noted on 31 October 2023.The cumulative effect of teriparatide from relative "overdosing" may be a contributing factor for prolonged hypercalcemia in our case, given she had a body mass index of 14.42 kg/m

Indexed as

Bone Density Conservation AgentsHypercalcemiaTeriparatideAgedFemaleHumansOsteoporosis, PostmenopausalBone Density Conservation AgentsTeriparatideBody weightHypercalcemiaOsteoporosisOverdoseTeriparatide

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.