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Liver Transplantation-associated Hypercalcemia Followed by Acute Renal Dysfunction

  • SHIRASAWA Yuichi
    Department of Internal Medicine and Pathophysiology, Nagoya City University Graduate School of Medical Sciences
  • NOMURA Tomoyuki
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • YOSHIDA Atsuhiro
    Department of Internal Medicine and Pathophysiology, Nagoya City University Graduate School of Medical Sciences
  • HASHIMOTO Takashi
    Division of Pediatric and Transplant Surgery, Nagoya City University Graduate School of Medical Sciences
  • KIMURA Genjiro
    Department of Internal Medicine and Pathophysiology, Nagoya City University Graduate School of Medical Sciences
  • ITO Makoto
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences

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Abstract

A 34-year-old woman with liver insufficiency due to glycogen storage disease III underwent a living spousal liver transplantation. Soon after the successful operation, moderate hypercalcemia along with hyperbilirubinemia emerged without clarified reasons. The hypercalcemia persisted for over a month despite calcitonin treatment and the serum calcium level surged to 13.2mg/dl with albumin correction. Renal dysfunction was indicated by an acute increase in serum creatinine (∼0.8 to ∼2.8mg/ml), which was assumed to be hypercalcemia-induced and was effectively treated with bisphosphonate, pamidronate (30 mg, i.v.). Recent topics related to transplantation-associated hypercalcemia are discussed.

Journal

  • Internal Medicine

    Internal Medicine 43 (9), 802-806, 2004

    The Japanese Society of Internal Medicine

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