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Non-parathyroid hypercalcemia during lactation: a case report.

Wei Shi1, Xiajuan Wang1, Jiayue Yang1

  • 1Endocrine Department, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, China.

Annals of Palliative Medicine
|September 7, 2021
PubMed
Summary

Non-parathyroid hypercalcemia during lactation is a rare emergency. Terminating lactation effectively treated a patient with hypercalcemia symptoms, normalizing serum calcium levels.

Keywords:
Hypercalcemiacase reportlactationparathyroid hormone (PTH)parathyroid hormone related peptide

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Area of Science:

  • Endocrinology
  • Nephrology
  • Obstetrics & Gynecology

Background:

  • Hypercalcemia is a critical condition with potentially fatal outcomes.
  • Non-parathyroid hypercalcemia involves calcium redistribution and suppressed parathyroid hormone (PTH) secretion.

Observation:

  • A 27-year-old lactating female presented with fatigue, anorexia, knee pain, and numbness.
  • Elevated serum calcium and decreased PTH levels confirmed hypercalcemia.
  • Symptoms developed during lactation, suggesting a potential link.

Findings:

  • The patient received calcitonin and underwent lactation termination.
  • Within two weeks, knee pain resolved and serum calcium normalized.
  • This case highlights a rare instance of non-parathyroid hypercalcemia during lactation.

Implications:

  • Lactation should be considered a potential cause of non-parathyroid hypercalcemia.
  • Lactation termination may be a viable treatment for hypercalcemia linked to excessive milk production.
  • Further research is warranted to understand the relationship between lactation and hypercalcemia.