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Bigoreksi med paraffinomdannelse kan give hyperkalcaemi
Engelsk titel: Paraffin oil injections due to bigorexia may cause hypercalcaemia Läs online Författare: Nerild, Henriette Holst ; Theilade, Karen Simone ; Eldrup, Ebbe Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 19090192

Tidskrift

Ugeskrift for Laeger 2019;181(11)1066-8 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Paraffin oil injections may cause severe hypercalcaemia, likely due to development of granulomas at injection sites, activating 1,25 dihydroxyvitamin D and increasing calcium uptake from gut, kidney and bone. This is a case report of a 39-year-old male with severe hypercalcaemia and renal failure due to paraffin oil injections. He was treated with prednisolone (25-50 mg daily), but the disease recurred the next two summers probably due to erroneous vitamin D supplement and sun exposure. The disease course and prognosis are unknown. Treatment options are discussed, and paraffin oil injections should be avoided.