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Un informe de caso de síndrome lácteo-alcalino secundario al uso excesivo de antiácidos
Samir Beso1, Layla Abubshait1,2
1Jefferson Einstein Montgomery Hospital, Department of Emergency Medicine, East Norriton, Pennsylvania.
Clinical practice and cases in emergency medicine
|February 10, 2026
Resumen
El síndrome lácteo-alcalino, una condición de hipercalcemia, alcalosis metabólica y lesión renal por exceso de calcio y álcali, está resurgiendo. El reconocimiento y el tratamiento inmediatos son cruciales para la recuperación.
Área de la Ciencia:
- Nefrología Nefrología.
- Medicina interna es la medicina interna de las enfermedades.
- Medicina de emergencia Medicina de emergencia.
Sus antecedentes:
- El síndrome lácteo-alcalino (MAS) se presenta con hipercalcemia, alcalosis metabólica y lesión renal aguda.
- Históricamente vinculado a los tratamientos de úlceras, el MAS es ahora cada vez más reconocido debido al uso de suplementos de calcio de venta libre.
- Esta condición representa un porcentaje significativo de los casos de hipercalcemia.
Objetivo del estudio:
- Para resaltar el resurgimiento del síndrome lácteo-alcalino.
- Para enfatizar la importancia de la historia de la medicación en el diagnóstico de MAS.
- Para subrayar la necesidad de una gestión rápida en situaciones de emergencia.
Principales métodos:
- Un informe de caso de un paciente varón de 60 años con múltiples comorbilidades.
- Presentación con estado mental alterado, hipercalcemia severa, alcalosis metabólica y lesión renal aguda.
- El diagnóstico confirmado después de la historia reveló un consumo excesivo de antiácidos; el tratamiento involucró fluidos intravenosos y calcitonina.
Principales resultados:
- El paciente experimentó una resolución completa de los síntomas dentro de las 48 horas posteriores al tratamiento.
- Demuestra la efectividad de la gestión conservadora para MAS.
- Destaca el vínculo entre el uso excesivo de antiácidos y la MAS.
Conclusiones:
- El síndrome lácteo-alcalino es una causa emergente de hipercalcemia en los departamentos de emergencia.
- Una historia completa de la medicación y el reconocimiento temprano de la tríada son vitales para el diagnóstico.
- La vigilancia para el MAS es esencial para los médicos de emergencias debido a la prevalencia de los suplementos de calcio.
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