Problems with the diagnostic algorithm for hypercalcaemiaBMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h3655 (Published 07 July 2015) Cite this as: BMJ 2015;351:h3655
- Michaël R Laurent, geriatrics registrar1
- 1KU Leuven and University Hospitals Centre for Metabolic Bone Diseases, 3000 Leuven, Belgium
The diagnostic algorithm in Minisola and colleagues’ excellent review of hypercalcaemia contains several debateable points.1
Firstly, the authors suggest confirming hypercalcaemia after vitamin D supplements are discontinued, but high vitamin D rarely contributes to hypercalcaemia if supplementation is not excessive. Directly proceeding to calcidiol measurements provides more certainty and avoids unnecessary delays.
The authors …