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Letters Hypercalcaemia

Problems with the diagnostic algorithm for hypercalcaemia

BMJ 2015; 351 doi: (Published 07 July 2015) Cite this as: BMJ 2015;351:h3655
  1. Michaël R Laurent, geriatrics registrar1
  1. 1KU Leuven and University Hospitals Centre for Metabolic Bone Diseases, 3000 Leuven, Belgium
  1. michael.laurent{at}

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 …

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