TY  - JOUR
T1  - RApid appearance of hypercalcemia with initiation of hemodialysis
AU  - Coburn JW, Massry SG, DePalma JR, Shinaberger JH
Y1  - 1969/12/22
N1  - 10.1001/jama.1969.03160380090025
JO  - JAMA
SP  - 2276
EP  - 2278
VL  - 210
IS  - 12
N2  - Symptomatic hypercalcemia developed in a patient with chronic renal failure within three weeks of initiation of adequate hemodialysis. He had anorexia, nausea, vomiting, pruritus, dysesthias, parasthesias, confusion, disorientation, and hypertension; these symptoms were controlled only after subtotal parathyroidectomy. Adequate hemodialysis may, in rare instances, unmask manifestations of preexisting secondary hyperparathyroidism in a manner similar to that observed after renal transplantation. The symptoms were very intense, and it is possible that uremia may increase the sensitivity to symptoms of hypercalcemia.
SN  - 0098-7484
M3  - doi: 10.1001/jama.1969.03160380090025
UR  - http://dx.doi.org/10.1001/jama.1969.03160380090025
ER  -