Milk alkali syndrome in an infant with chronic kidney disease

alkali syndrome in an infant with chronic kidney disease Case report (1415) Total Article Views Authors: Kari JA, El Desoky SM Published Date June 2012 Volume 2012:3 Pages 19 - 23 DOI: http://dx.doi.org/10.2147/PHMT.S30290 Received: 27 January 2012 Accepted: 28 February 2012 Published: 08 June 2012 Jameela A Kari, Sherif M El Desoky Department of Pediatrics and Pediatric Nephrology Unit, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia Abstract: We report a case of milk alkali syndrome in a 15-month-old infant who had chronic kidney disease. His kidney function worsened, with creatinine raised from 1.11 mg/dL (98 μmol/L) to 3.98 mg/dL (350.3 μmol/L), normal 0.4–1.0 mg/dL (35–91 μmol). He had hypercalcemia, serum calcium level 3.11 (normal 2.1–2.6) mmol/L, and metabolic alkalosis, HCO3 48.7 (normal 21–26) mmol/L. His kidney function returned to its base level and his calcium and bicarbonate levels normalized with adjustment of calcium carbonate and sodium bicarbonate doses. We report this case to highlight an unusual complication and to review the literature on milk alkali syndrome which is rare in children.