THOMAS R. DORSCH, M.D.
To the editor: The milk-alkali syndrome is an uncommon cause of hypercalcemia in current practice. The pathophysiology of the syndrome has been described, but many uncertainties about calcium-regulating hormones exist (1). I recently evaluated a patient whose findings may help define this problem.
A 52-year-old white woman was referred to St. Francis Medical Center for evaluation of renal insufficiency in May 1984. She consulted her physician because of nausea, vomiting, and a 4.5-kg weight loss in the preceding 6 months. Intermittent burning epigastric and retrosternal pain had been noted after meals for 8 years and was relieved with antacid tablets
DORSCH TR. The Milk-Alkali Syndrome, Vitamin D, and Parathyroid Hormone. Ann Intern Med. ;105:800–801. doi: 10.7326/0003-4819-105-5-800
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Published: Ann Intern Med. 1986;105(5):800-801.
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