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Case Reports in Medicine
Volume 2011 (2011), Article ID 729862, 4 pages
Case Report

Milk Alkali and Hydrochlorothiazide: A Case Report

Department of Internal Medicine, Meharry Medical College, 1818 Albion Street, Nashville, TN 37208, USA

Received 9 November 2010; Revised 12 February 2011; Accepted 28 March 2011

Academic Editor: Robert A. Kozol

Copyright © 2011 Babar Parvez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hypercalcemia is a relatively common clinical problem in both outpatient and inpatient settings. Primary pathophysiology is the entry of calcium that exceeds its excretion into urine or deposition in bone into circulation. Among a wide array of causes of hypercalcemia, hyperparathyroidism and malignancy are the most common, accounting for greater than 90 percent of cases. Concordantly, there has been a resurgence of milk-alkali syndrome associated with the ingestion of large amounts of calcium and absorbable alkali, making it the third leading cause of hypercalcemia (Beall and Scofield, 1995 and Picolos et al., 2005). This paper centers on a case of over-the-counter calcium and alkali ingestion for acid reflux leading to milk alkali with concordant use of thiazide diuretic for hypertension.