Hypercalcemia

Hypercalcemia is a common clinical condition characterized by elevated serum calcium levels, typically above the normal range of 2.1–2.6 mmol/L, resulting from excessive calcium entry into the extracellular fluid or impaired renal excretion. The most frequent causes are primary hyperparathyroidism and malignancy-associated hypercalcemia, together accounting for over 90% of cases. These conditions often lead to increased bone resorption or impaired kidney function. Early symptoms are frequently mild and nonspecific, including constipation, nausea, vomiting, abdominal pain, and loss of appetite, while more severe manifestations—such as confusion, depression, weakness, kidney stones, bone pain, and abnormal heart rhythms—may occur with higher or rapidly rising calcium levels. In extreme cases, hypercalcemia can lead to life-threatening complications like cardiac arrest. Although many patients with mild hypercalcemia remain asymptomatic, it remains a significant metabolic disorder requiring timely diagnosis and management to prevent long-term complications such as bone demineralization and renal impairment.
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