ARTHUR LEONARD, M.D.; ROBERT J. NELMS JR., M.D.
To the editor: We recently observed a 19-year-old Marine who developed acute renal failure due to heat stroke with attendant exertional rhabdomyolysis, infection, and disseminated intravascular coagulation. After oliguria passed, hypercalcemia to 12.2 mg/100 ml, red eyes (1, 2), and biochemical abnormalities suggestive of hyperparathyroidism developed; total urinary calcium was 257 mg; phosphate clearance, 17.3 ml/min; tubular reabsorption of phosphate (TRP), 79%; and phosphate excretion index, 0.121. Renal biopsy performed on the 21st diuretic day was "consistent with the late, healing phase of acute tubular necrosis"; in addition, dark-staining deposits identified as calcium-containing by von Kossa stain were seen in
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LEONARD A, NELMS RJ. Hypercalcemia in Diuretic Phase of Acute Renal Failure. Ann Intern Med. 1970;73:137–138. doi: 10.7326/0003-4819-73-1-137
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Published: Ann Intern Med. 1970;73(1):137-138.
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