Saturday, November 24, 2012

[19] Resistant Hypercalcemia

Resistant hypercalcemia #MP111212
[Varughese, 2011, Endocrine Reviews, RANK-L, hyperparathyroidism, parathyromatosis]

This issue came up with a hospital consult recently. 76 yo female with primary hyperparathyroidism, CHF with EF 20%, Cr 1.8, calcium 12.3. Intolerant to sensipar. Question was posed of IV bisphosphonates vs denosumab for acute therapy.

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