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Idiopathic Hypercalcemia in Decompensated Cirrhosis: Reexploring an Entity in Oblivion
Divya C Ragate1, Sunil Taneja2, Akash Roy2
1Department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Abstract:
Hypercalcemia is a rare metabolic abnormality seen in patients with cirrhosis and is usually considered a paraneoplastic manifestation of hepatocellular carcinoma. Idiopathic hypercalcemia in cirrhosis is a diagnosis of exclusion, which is considered when all the causes of hypercalcemia have been ruled out. Here, we report a rare case of idiopathic hypercalcemia presenting as acute kidney injury in a case of decompensated cirrhosis, managed with adequate hydration and injection of ibandronate and intranasal calcitonin, leading to the normalization of serum calcium and resolution of acute kidney injury.
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