Abstract

Hypercalcaemia, a common medical problem, can be a manifestation of various diseases. When severe, it can represent a medical emergency. Correct diagnosis is important to prevent unnecessary investigations and parathyroidectomies. We here present five patients with severe hypercalcaemia, most misdiagnosed for months or years before being referred to Sultan Qaboos University Hospital, Oman. We report how clinical examination, evaluation of fasting serum calcium, phosphate, creatinine and 24-hour urine calcium levels together with a review of their radiographics predicted the pathophysiology of the disorder and guided investigative procedures before hormone assays results were available.

Subject

Publication details

DOI
10.18295/2075-0528.1222
Journal
Sultan Qaboos University Medical Journal, 10(3), 388-395
Publisher
Sultan Qaboos University
Open access
Gold open access
License
CC BY-ND 4.0

Cite this article

APA 7

El-Shafie, O. T., & Woodhouse, N. J. (2025). The Diagnosis and Management of Severe Hypercalcaemia: A simplified approach - Report of five cases. Sultan Qaboos University Medical Journal, 10(3), 388-395. https://doi.org/10.18295/2075-0528.1222

MLA 9

El-Shafie, Omayma T., and Nicholas JY Woodhouse. "The Diagnosis and Management of Severe Hypercalcaemia: A simplified approach - Report of five cases." Sultan Qaboos University Medical Journal, vol. 10, no. 3, 2025, pp. 388-395. https://doi.org/10.18295/2075-0528.1222.

Chicago (author–date)

El-Shafie, Omayma T., and Nicholas JY Woodhouse. 2025. "The Diagnosis and Management of Severe Hypercalcaemia: A simplified approach - Report of five cases." Sultan Qaboos University Medical Journal 10 (3): 388-395. https://doi.org/10.18295/2075-0528.1222.

Harvard

El-Shafie, O. T. and Woodhouse, N. J. (2025) 'The Diagnosis and Management of Severe Hypercalcaemia: A simplified approach - Report of five cases', Sultan Qaboos University Medical Journal, 10(3), pp. 388-395. doi:10.18295/2075-0528.1222.

Vancouver

El-Shafie OT, Woodhouse NJ. The Diagnosis and Management of Severe Hypercalcaemia: A simplified approach - Report of five cases. Sultan Qaboos University Medical Journal. 2025;10(3):388-395. doi:10.18295/2075-0528.1222

IEEE

O. T. El-Shafie, and N. J. Woodhouse, "The Diagnosis and Management of Severe Hypercalcaemia: A simplified approach - Report of five cases," Sultan Qaboos University Medical Journal, vol. 10, no. 3, pp. 388-395, 2025, doi: 10.18295/2075-0528.1222.