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Hypercalcemia

Author: Pediatric Oncall

Question
A 1½-month-old girl born of non-consanguineous marriage presented with fever for 5 days, thickening of the skin over back, arms since 15 days of life. She was born of a post term caesarean section, had meconium aspiration and required ventilatory support postnatally and required NICU stay for 15 days. She was immunized till OPV & BCG and was on exclusive breastfeeds. On examination, the child was irritable, weight was 4.25 kg with subcutaneous fat necrosis over back, arms, and thighs and crepitations in right lower zone. Other systems were normal. She was found to have hypercalcemia (serum calcium = 12.4 mg% and ionic calcium = 2.28 mmol/L).

What is the treatment of hypercalcemia?

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