01 June 2022: Articles
Unusual Case of Dehydration Leading to Severe Symptomatic Hypercalcemia
Unknown etiology
Ojbindra KC A* , Punya Hari Dahal E , Manisha Koirala E , Enas Al Zaghal EDOI: 10.12659/AJCR.936204
Am J Case Rep 2022; 23:e936204
Table 1. The laboratory test results at 2 weeks before presentation, on the day of presentation, and 1 week after discharge.
| Variables | Reference range | Laboratory workup 2 weeks before presentation | Laboratory workup on the day of presentation | Laboratory workup 1 week after the discharge |
|---|---|---|---|---|
| White blood cells | 4.0–10.0×10/µL | 5.9×10/µL | 8.6×10/µL | 6.4×10/µL |
| Hemoglobin | 12.0–15.5 gm/dL | 12.0 gm/dL | 12.7 gm/dL | 12.0 gm/dL |
| Platelets | 150–450×10/µL | 166×10/µL | 235×10/µL | 239×10/µL |
| Sodium | 135–146 mEq/L | 133 mEq/L | 135 mEq/L | 134 mEq/L |
| Potassium | 3.5–5.3 mEq/L | 4.7 mEq/L | 3.5 mEq/L | 4.9 mEq/L |
| Chloride | 98–110 mEq/L | 110 mEq/L | 101 mEq/L | 102 mEq/L |
| Bicarbonate | 21–30 mM/L | 18 mM/L | 28 mM/L | 22 mM/L |
| Blood urea nitrogen | 7.0–25 mg/dL | 11 mg/dL | 9 mg/dL | 17 mg/dL |
| Creatinine | 0.55–1.02 mg/dL | 0.85 mg/dL | 0.97 mg/dL | 0.94 mg/dL |
| Glomerular filtration rate | mL/min/1.73 sq m | >60 | >60 | >60 |
| Glucose | 65–99 mg/dL | 379 mg/dL | 365 mg/dL | 470 mg/dL |
| Hemoglobin A1c | Not checked | 10.7% | Not checked | |
| Calcium | 8.5–10.4 mg/dL | 8.1 mg/dL | 17.3 mg/dL | 9.6 mg/dL |
| Ionized calcium | 1.19–1.29 mM/L | Not checked | 1.95 mM/L | Not checked |
| Albumin | 3.5–4.9 gm/dL | 4.1 gm/dL | 3.6 gm/dL | 5.1 gm/dL |
| Total protein | 6.0–8.3 gm/dL | 5.9 gm/dL | 5.3 gm/dL | 7.4 gm/dL |
| Aspartate transaminase | 2.0–35 U/L | 24 U/L | 19 U/L | 15 U/L |
| Alanine transaminase | 2.0–40 U/L | 29 U/L | 15 U/L | 17 U/L |
| Alkaline phosphatase | 20–125 U/L | 155 U/L | 97 U/L | 147 U/L |
| Total Bilirubin | 0.2–1.5 mg/dL | 0.4 mg/dL | 0.7 mg/dL | 0.6 mg/dL |