Transcription of A Practical Approach to Hypercalcemia
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A Practical Approach to Hypercalcemia
MAY1, 2003 / VOLUME67, inorganic molecules. Low albumin lev-els can affect the total serum calcium measuring the free calcium level ismore convenient and accurate, but the follow-ing formula can be used to calculate the cor-rected total serum calcium level:Corrected calcium = ( g per dL [plasma albumin]) + [serum calcium] parathyroid hormone (PTH), 1,25-dihy-droxyvitamin D3(calcitriol), and calcitonincontrol calcium homeostasis in the body(Table 1).Increased bone resorption, increasedgastrointestinal absorption of calcium, anddecreased renal excretion of calcium causehypercalcemia. Normal serum calcium levelsare 8 to 10 mg per dL ( to mmol per L,Figure 1),although the exact range can varyamong laboratories.
May 01, 2003 · the parathyroid glands or, rarely, parathyroid carcinoma. In primary or tertiary hyper-parathyroidism, PTH levels are normal or high in the setting of hypercalcemia (Figure 3).
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