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- Title
Successful Management of Severe Hypercalcemia with Zoledronic Acid: A Report of Two Pediatric Cases.
- Authors
Kilci, Fatih; Jones, Jeremy Huw; Çizmecioğlu-Jones, Filiz Mine
- Abstract
Severe hypercalcemia associated with vitamin D intoxication or malignancy in children is a rare and life-threatening condition. There is little published experience with Zoledronic acid (ZA) in the treatment of pediatric severe hypercalcemia. Here, we present two pediatric cases of severe hypercalcemia, one due to vitamin D intoxication and the second to malignancy, in which ZA was used as the first-line bisphosphonate in the treatment. While both cases responded well to a single dose of ZA, the second case experienced hypocalcemia requiring calcium treatment after ZA infusion. Our report shows that ZA may be an effective option in the treatment of severe pediatric hypercalcemia, although patients should be followed closely after infusion due to the risk of hypocalcemia. We provide additional published evidence for the effectiveness of ZA in correcting severe pediatric hypercalcemia and hope this will encourage future studies with larger numbers of patients.
- Subjects
LYMPHOBLASTIC leukemia diagnosis; FLOW cytometry; BONE marrow examination; FUROSEMIDE; HYPERCALCEMIA; TREATMENT effectiveness; APPETITE; CHOLECALCIFEROL; CALCIUM; WALKING; PARATHYROID hormone; ZOLEDRONIC acid; POLYURIA; TUMORS; PATIENT monitoring; VITAMIN D; CONSTIPATION; DEHYDRATION; DIETARY supplements; EVALUATION; DISEASE complications; CHILDREN
- Publication
Journal of Clinical Research in Pediatric Endocrinology, 2024, Vol 16, Issue 2, p224
- ISSN
1308-5727
- Publication type
Article
- DOI
10.4274/jcrpe.galenos.2022.2022-9-3