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Abdelmogheth AA, El-Baroudy I, Al-Yaaruby S. Plasmapheresis-induced hypercalcaemia. Sultan Qaboos Univ Med J. 2013;13(1):147-51
Abdelmogheth, A. A., El-Baroudy, I., & Al-Yaaruby, S. (2013). Plasmapheresis-induced hypercalcaemia. Sultan Qaboos University medical journal, 13(1), 147-51.
Abdelmogheth, Anas-Alwogud, et al. "Plasmapheresis-induced hypercalcaemia." Sultan Qaboos University medical journal vol. 13,1 (2013): 147-51.
Abdelmogheth AA, El-Baroudy I, Al-Yaaruby S. Plasmapheresis-induced hypercalcaemia. Sultan Qaboos Univ Med J. 2013 Feb;13(1):147-51. Epub 2013 Feb 27. PMID: 23573397; PMCID: PMC3616782.
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Sultan Qaboos Univ Med J. 2013 Feb;13(1):147-51. Epub 2013 Feb 27.

Plasmapheresis-induced hypercalcaemia.

Sultan Qaboos University medical journal

Anas-Alwogud Abdelmogheth, Islam El-Baroudy, Saif Al-Yaaruby

Affiliations

  1. Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman.

PMID: 23573397 PMCID: PMC3616782

Abstract

Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy that can cause total motor paralysis in severe cases. Reports of hypercalcaemia in patients with GBS are rare. Plasmapheresis, an extracorporeal blood purification procedure for the removal of large molecular weight substances, is a well-established therapy for ventilated GBS patients. Although it has been observed in a few reported cases, theoretically, hypercalcaemia is not described as a plasmapheresis-related problem unless there is an underlying cause. We present a rare case of an 8-year-old child presenting with headache, diplopia, and squint, followed by disturbed conscious levels and paralysis. He was treated with both intravenous immunoglobulin and plasmapheresis, with a favourable outcome. We made a laboratory observation of hypercalcaemia which was associated with the plasmapheresis therapy without any related underlying cause. This raises the need for similar observations and the gathering of other possible acceptable explanations.

Keywords: Case report; Guillain-Barré syndrome; Hypercalcemia; Oman; Plasmapheresis

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