Title
Hungry bone syndrome two weeks after starting cinacalcet: a call for caution.
Document Type
Article
Publication Date
5-1-2018
Institution/Department
Nephrology, Internal Medicine
Journal Title
CEN case reports
Abstract
Cinacalcet is an effective and safe alternative to parathyroidectomy in end stage renal disease (ESRD) patients with secondary hyperparathyroidism. Hypocalcemia is a known complication of treatment that is usually readily reversible upon discontinuation of the drug. It rarely manifests severely and symptomatically requiring hospital admission. We present the case of a 55 year old man with severe, symptomatic and prolonged hypocalcemia that occurred 2 weeks after starting cinacalcet. Cinacalcet induced a state of pharmacological parathyroidectomy with subsequent hungry bone syndrome. Serum calcium returned to normal range after 4 weeks of stopping the drug while receiving high doses of elemental calcium and vitamin D receptor activation therapy (VDRA).
ISSN
2192-4449
First Page
21
Last Page
23
Recommended Citation
Koubar, Sahar H; Qannus, Abd Assalam; Medawar, Walid; and Abu-Alfa, Ali K, "Hungry bone syndrome two weeks after starting cinacalcet: a call for caution." (2018). Maine Medical Center. 426.
https://knowledgeconnection.mainehealth.org/mmc/426
