Основні причини гіперкальціємії

Mechanism

Category

Examples

Excessive bone resorption

Humoral hypercalcemia of malignancy

Bladder

Breast

Leukemia

Lymphoma

Ovarian

Prostate

Renal cell

Squamous cell (lung, head and neck)

Osteolytic hypercalcemia of malignancy, due to bone metastases or hematologic cancer

Leukemia

Lymphoma

Metastatic breast, prostate, non-small cell lung cancers

Multiple myeloma

Increased mobilization of calcium from bone

Hyperthyroidism

Immobilization (eg, orthopedic casting traction)

Osteoporosis in older people

Paget disease of bone

Paraplegia or quadriplegia

Rapid growth during childhood and adolescence

Parathyroid hormone excess

Familial hypocalciuric hypercalcemia

Parathyroid carcinoma

Primary hyperparathyroidism

Secondary hyperparathyroidism

Tertiary hyperparathyroidism

Vitamin toxicity

Vitamin A toxicity

Vitamin D toxicity

Excessive GI calcium absorption, intake, or both

Granulomatous diseases

Berylliosis

Coccidioidomycosis

Histoplasmosis

Leprosy

Sarcoidosis

Silicosis

Tuberculosis

Other disorders

Milk-alkali syndrome

Vitamin D toxicity

Other mechanisms

Medications

Lithium toxicity

Theophylline toxicity

Thiazide treatment

Endocrine dysfunction

Addison disease

Cushing disease, postoperative

Myxedema

Other disorders

Aluminum-induced osteomalacia

Idiopathic infantile hypercalcemia

Neuroleptic malignant syndrome

Artifactual

Exposure of blood to contaminated glassware

Prolonged venous stasis as blood sample was obtained

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