Interní Med. 2012; 14(11): 419-421
In this review foundamental physiological and pathophysiological aspects of clacaemia regulation are mentioned. Syptomatology,
consequences and treatment of hypercalcaemia, incl. hypercalcaemic cisis, are discussed. Attention is focused on primary hyperparathyroidism,
which is, together with malignant diseases, the most frequent cause of hypercalcaemia (90 %). In diferential diagnosis malignant
and granulomatous diseases, renal failure, endocrinopathies, effect of drugs or immobilization and benign familiar hypocalciuric
hypercalcaemia (caused by inactivation mutation in calcium – sensing receptor gene) are necessary to exclude. At the end of the article
the step diagnostic procedure in hypercalcaemia is outlined.
Published: December 1, 2012 Show citation