Successful Management of Severe Hypercalcemia with Zoledronic Acid: A Report of Two Pediatric Cases

被引:1
|
作者
Kilci, Fatih [1 ]
Jones, Jeremy Huw [2 ]
Cizmecioglu-Jones, Filiz Mine [1 ]
机构
[1] Kocaeli Univ, Fac Med, Dept Pediat, Div Pediat Endocrinol, Kocaeli, Turkiye
[2] Kocaeli Univ, Dept Acad Writing, Kocaeli, Turkiye
关键词
Hypercalcemia of malignancy; hypocalcemia; pamidronate; vitamin D intoxication; zoledronic acid; ACUTE LYMPHOBLASTIC-LEUKEMIA; VITAMIN-D INTOXICATION; DISORDERS;
D O I
10.4274/jcrpe.galenos.2022.2022-9-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe hypercalcemia associated with vitamin D intoxication or malignancy in children is a rare and life -threatening condition. There is little published experience with Zoledronic acid (ZA) in the treatment of pediatric severe hypercalcemia. Here, we present two pediatric cases of severe hypercalcemia, one due to vitamin D intoxication and the second to malignancy, in which ZA was used as the first -line bisphosphonate in the treatment. While both cases responded well to a single dose of ZA, the second case experienced hypocalcemia requiring calcium treatment after ZA infusion. Our report shows that ZA may be an effective option in the treatment of severe pediatric hypercalcemia, although patients should be followed closely after infusion due to the risk of hypocalcemia. We provide additional published evidence for the effectiveness of ZA in correcting severe pediatric hypercalcemia and hope this will encourage future studies with larger numbers of patients.
引用
收藏
页码:224 / 228
页数:5
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