A 68-year-old man was evaluated for a two-year history of hypercalcemia,constipation, generalized weakness, and slowing of intellectualfunction. He had a 20-year history of recurrent nephrolithiasis.He had been treated for a peptic ulcer at the age of 60 andhad had no symptoms of recurrent ulcer disease thereafter. Hehad also had mild hypertension treated with atenolol and stablerenal insufficiency (blood urea nitrogen level, 46 mg per deciliter;serum creatinine level, 3.3 mg per deciliter) since the ageof 66. Hypercalcemia was first detected when the patient was60 years old, when he passed a kidney stone. . . . [Full Text of this Article]
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From the Department of Internal Medicine, University of Alabama, 1808 7th Ave. S., Birmingham, AL 35233.
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