Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or type 2A, familial hyperparathyroidism)
Parathyroid hormone–independent
Renal failure, acute or chronic*
Neoplasms
- Parathyroid hormone–related protein dependent
- Osteolytic metastases and multiple myeloma
- Other humoral syndromes
Excess vitamin D
- Ingested or topical vitamin D analogues
- Granulomatous disease
- Williams syndrome
Other endocrine diseases: thyrotoxicosis, adrenal insufficiency
Drugs: vitamin A intoxication, milk-alkali syndrome, thiazide diuretics, theophylline
Other: immobilization, Jansen disease
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