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Spironolactone for the treatment of hypercalciuric hypocalcemia
Abeer Al-Gharabally1, Suhail A R Doi, Kamal A S Al-Shoumer
1Division of Endocrinology and Metabolic Medicine, Mubarak Al Kabeer Hospital, Jabriya, Kuwait.
Journal of Bone and Mineral Metabolism
|July 13, 2002
Abstract:
A patient with hypocalcemia and hypomagnesemia, and renal wasting of both cations, is presented. This patient had a dramatic calcium response to treatment with spironolactone. The possible diagnoses and mechanisms of response are discussed. It is concluded that the patient had a calcium-sensing receptor mutation, and that treatment with spironolactone induced an effect on renal handling of calcium in this condition. It is suggested that this treatment be tried in other similar patients.