The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Nephrocalcinosis may include:
Hidden causes of Nephrocalcinosis may be incorrectly diagnosed:
Products, offers and promotion categories available for Nephrocalcinosis:
Research all specialists including ratings, affiliations, and sanctions.
Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Nephrocalcinosis:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Nephrocalcinosis, on hospital and medical facility performance and surgical care quality:
16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Nephrocalcinosis.
Treatment varies and requires correction of the acute imbalance, followed by maintenance therapy and correction of the underlying cause. Mild hypocalcemia may require nothing more than an adjustment in diet to allow adequate intake of calcium, vitamin D, and protein, possibly with oral calcium supplements. Acute hypocalcemia is an emergency that needs immediate correction by I.V. administration of calcium gluconate or calcium chloride. Chronic hypocalcemia also requires vitamin D supplements to facilitate GI absorption of calcium. To correct mild deficiency states, the amounts of vitamin D in most multivitamin preparations are adequate. For severe deficiency, vitamin D is used in four forms: ergocalciferol (vitamin D 2), cholecalciferol (vitamin D3), calcitriol, and dihydrotachysterol, a synthetic form of vitamin D2.
Treatment of hypercalcemia primarily eliminates excess serum calcium through hydration with normal saline solution, which promotes calcium excretion in the urine. Loop diuretics, such as ethacrynic acid and furosemide, also promote calcium excretion. (Thiazide diuretics are contraindicated in hypercalcemia because they inhibit calcium excretion.) Corticosteroids, such as prednisone and hydrocortisone, are helpful in treating sarcoidosis, hypervitaminosis D, and certain tumors. Plicamycin can also lower serum calcium levels and is especially effective against hypercalcemia secondary to certain tumors. Calcitonin may also be helpful in certain instances. Sodium phosphate solution administered orally or by retention enema promotes calcium deposition in bone and inhibits its absorption from the GI tract.
Source: Professional Guide to Diseases (Eighth Edition), 2005
An acute imbalance requires immediate correction, followed by maintenance therapy and correction of the underlying cause.
A mild calcium deficit may require nothing more than an adjustment in diet to allow adequate intake of calcium, vitamin D, and protein, possibly with oral calcium supplements. Acute hypocalcemia is an emergency that needs immediate correction by I.V. administration of calcium gluconate or calcium chloride.
Chronic hypocalcemia also requires vitamin D supplements to facilitate GI absorption of calcium. Although the amount of vitamin D in most multivitamin preparations is adequate to correct a mild deficiency, different forms of vitamin D are used for severe deficiency, including ergocalciferol (vitamin D2), cholecalciferol (vitamin D3), calcitriol, and dihydrotachysterol, a synthetic form of vitamin D2.
Treatment of hypercalcemia primarily eliminates excess serum calcium through hydration with normal saline solution, which promotes calcium excretion in urine. Loop diuretics, such as ethacrynic acid and furosemide, also promote calcium excretion. (Because thiazide diuretics inhibit calcium excretion, they’re contraindicated in hypercalcemic patients.)
Corticosteroids, such as prednisone and hydrocortisone, are helpful in treating sarcoidosis, hypervitaminosis D, and certain tumors. Plicamycin can lower the serum calcium level and is especially effective against hypercalcemia secondary to certain tumors. Calcitonin may also be helpful in certain instances.
Sodium phosphate solution administered by mouth or by retention enema promotes calcium deposits in bone and inhibits its absorption from the GI tract.
Source: Handbook of Diseases, 2003
What do you think about the features of this website? Take our user survey and have your say:
Next articles:
Tools & Services:
Medical Articles:
Search Specialists by State and City
By using this site you agree to our Terms of Use. Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our Terms of Use.
Copyright © 2009 Health Grades Inc. All rights reserved.
How your kidney stones are treated will depend on the size, location and type of stone you have. Our panel of experts will discuss the different...
Ice cream, beaches, and.... kidney stones? It's a little known fact, but kidney stones are much more common in the summer. Why is this the case?...
Not all kidney stones are alike. Learn about the different types, and how each kind of stone brings its own specific problems.
Kidney stones, as the name implies, can lodge themselves in the kidney or along the urinary tract, causing extreme pain. What are they and how can...