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Hypercalcemia, Pediatric

Philippe F. Backeljauw, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Hypercalcemia represents an elevation in ionized and total calcium concentrations. 

EPIDEMIOLOGY

  • Less common than hypocalcemia

  • Less common in children than in adults

  • Adults: >90% caus...

TREATMENT

GENERAL MEASURES

  • Management depends on the etiology and the severity of hypercalcemia.

  • Prompt therapy is needed for severe hypercalcemia (calcium >14 mg/dL).

  • In mild/asymptomatic hypercalcem...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Postsurgical hypocalcemia is common after parathyroidectomy—especially after severe HPT (“hungry bone syndrome”), and requires calcium and phosphate supplementati...

ADDITIONAL READING

  • Allgrove J. Classification of disorders of bone and calcium metabolism. Endocr Dev.  2015;28:291–318. [View Abstract on OvidInsights]

  • Baroncelli GI, Bertelloni S. The use of bis...

CODES

ICD9

  • 275.42 Hypercalcemia

  • 252.00 Hyperparathyroidism, unspecified

ICD10

  • E83.52 Hypercalcemia

  • P71.8 Other transitory neonatal disord of calcium & magnesium metab

  • E21.3 Hyperparathyroidism, unspecif...

FAQ

  • Q: When should vitamin D or vitamin A levels be measured?

  • A: If there is a history of alternative medicine, over-the-counter drugs, or supplements

  • Q: When should one consider bisphosphonate therapy?

  • ...

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