Iatrogenic hypercalcaemia--a case report

Area of Science:

• Internal Medicine
• Endocrinology
• Clinical Case Reports

Background:

• Hypercalcemia is a metabolic disorder with various causes, including iatrogenic factors.
• Neurological symptoms like pain and paresthesia can be associated with hypercalcemia.
• The role of vitamin supplementation in metabolic health requires careful consideration.

Observation:

• A 63-year-old female presented with low back pain and intermittent bilateral lower limb paresthesia.
• The patient's symptoms were linked to iatrogenic hypercalcemia.
• Inadvertent vitamin prescription was identified as the likely cause.

Findings:

• The case demonstrates a direct correlation between vitamin overprescription and the development of hypercalcemia.
• Diagnostic workup confirmed elevated calcium levels attributed to the prescribed vitamins.
• Literature review supports the potential for vitamin-induced hypercalcemia.

Implications:

• This case underscores the critical need for judicious vitamin prescribing practices.
• Healthcare providers should be vigilant for potential adverse effects of high-dose vitamin supplementation.
• Raising awareness about iatrogenic causes of hypercalcemia is crucial for patient safety.