MRCEM Notes

Hypercalcaemia: causes

The most common causes of hypercalcaemia are malignancy (bone metastases, myeloma, PTHrP from squamous cell lung cancer) and primary hyperparathyroidism

Other causes include
  • sarcoidosis*
  • vitamin D intoxication
  • acromegaly
  • thyrotoxicosis
  • Milk-alkali syndrome
  • drugs: thiazides, calcium containing antacids
  • dehydration
  • Addison's disease
  • Paget's disease of the bone**

*other causes of granulomas may lead to hypercalcaemia e.g. Tuberculosis and histoplasmosis

**usually normal in this condition but hypercalcaemia may occur with prolonged immobilisation
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