Denosumab-Associated Severe Hypocalcemia in a Patient With Chronic Kidney Disease

被引:8
|
作者
Salim, Sohail Abdul [1 ]
Nair, Lakshmi Ramachandran [2 ]
Thomas, Litty [1 ]
Garla, Vishnu [2 ]
Palabindala, Venkataraman [3 ]
Agarwal, Mohit [1 ]
Fulop, Tibor [4 ,5 ]
机构
[1] Univ Mississippi, Med Ctr, Dept Internal Med, Div Nephrol, Jackson, MS 39216 USA
[2] Univ Mississippi, Med Ctr, Div Endocrinol, Jackson, MS 39216 USA
[3] Univ Mississippi, Med Ctr, Div Hosp Med, Jackson, MS 39216 USA
[4] Univ Debrecen, Fac Med, Dept Med, Div Nephrol, Debrecen, Hungary
[5] Fresenius Med Care, FMC Extracorporeal Life Support Ctr, Esztergom, Hungary
来源
关键词
Alkaline phosphatase; End-stage renal disease; Hypercalcemia of malignancy; Parathyroid hormone; RANKL inhibitor; MULTIPLE-MYELOMA; BONE METASTASES; OSTEOPROTEGERIN; CANCER; ACID;
D O I
10.1016/j.amjms.2017.09.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Denosumab is a monoclonal antibody directed against the receptor activator of nuclear factor kappa B ligand (RANKL). Denosumab has been shown to reduce the risk of skeletal-related events, including spinal cord compression, pathologic fracture and hypercalcemia of malignancy in patients with bone metastases. Hypocalcemia is a known side effect of denosumab, occurring in an estimated 8-14% of the patients. Here, we present an asymptomatic patient with stage-5 chronic kidney disease and severe hypocalcemia who had received denosumab 1 month earlier.
引用
收藏
页码:506 / 509
页数:4
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