A Case of Hypercalcemia and Acute Kidney Injury Caused by Adrenal Insufficiency
2024

Hypercalcemia and Kidney Injury from Adrenal Insufficiency

publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Yoshida Norihito, Suzuki Yusuke, Hitaka Mai, Yamazaki Keisuke, Ohashi Yasushi

Primary Institution: Toho University Medical Center, Sakura Hospital

Hypothesis

Can adrenal insufficiency cause hypercalcemia and acute kidney injury?

Conclusion

Timely glucocorticoid therapy is crucial for managing hypercalcemia related to adrenal insufficiency.

Supporting Evidence

  • Hypercalcemia can arise from adrenal insufficiency, complicating diagnosis.
  • The patient had a history of adrenal insufficiency managed with glucocorticoids.
  • Fluid replacement and glucocorticoid therapy improved the patient's condition.
  • Routine causes of hypercalcemia were ruled out in this case.
  • Early recognition of adrenal insufficiency is critical for effective management.

Takeaway

A 78-year-old man had high calcium levels and kidney problems because his adrenal glands weren't working properly. After getting the right medicine, he got better.

Methodology

Case report detailing the patient's history, symptoms, and treatment.

Limitations

The exact duration of missed medication doses was unclear.

Participant Demographics

78-year-old male with stage 3b chronic kidney disease.

Digital Object Identifier (DOI)

10.7759/cureus.74109

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