PMC111192_01
Course of hypercalcemia and response to dietary intervention
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F1
Recurrent hypercalcemia prompted a 3-day course of intravenous pamidronate (0.5 mg/kg per dose) leading to sustained high-normal serum calcium (Figure 1).
PMC111192_02
Course of hypercalcemia and response to dietary intervention
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PMC111192_02_1471-2431-2-4-1.jpg
F1
Recurrent hypercalcemia prompted a 3-day course of intravenous pamidronate (0.5 mg/kg per dose) leading to sustained high-normal serum calcium (Figure 1).
Diagnostic imaging studies. A. Increased bone density in area adjacent to distal femoral growth plate; B. renal ultrasound demonstrating left medullary nephocalcinosis
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F2
A skeletal survey showed striking linear bone density increase in the epiphyses in an area adjacent to the growth plate (Figure 2A). Renal ultrasound confirmed nephrocalcinosis (Figure 2B).
Growth response to dietary intervention
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F3
Her weight has steadily improved (Figure 3).