Diagnostic Dilemma

Treatment of hypercalcemia


Author: Pediatric Oncall
Question
A 9-month-old boy born of non-consanguineous marriage presented with polyuria and polydipsia for 1 month. The child had no other problems in the past and had been treated with Vitamin D 600,000 units orally twice at 6 months and 7 months of age and was on regular calcium supplements since birth. On examination, his weight was 6 kg and there was no evidence of rickets. Other examination findings were normal. His investigations showed serum calcium of 12.9 mg/dl, phosphorus of 4 mg/dl, and alkaline phosphatase of 83 IU/L. Ultrasound abdomen showed bilateral nephrocalcinosis with urine calcium/creatinine excretion of 0.6. Renal, liver function tests were normal.

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