Acute and Sub acute type

 

Chronic type

Duration period

Weeks or Months

Years

Drugs and risk factors

CaCO3, VitD3, Thiazides,
osteoporosis

CaCO3, VitD3, Thiazides,
chronic kidney disease,
osteoporosis

Renal histologic findings

Calcium deposition in renal tubules and interstitial tissue is mild to moderate.

Interstitial fibrosis or inflammatory change is also mild.

Calcium deposition in renal tubules and interstitial tissue is moderate to severe.

Interstitial fibrosis and inflammatory cell infiltration are moderate to severe.

Tubular atrophy.

Glomerulus hyalinization, Thickening of Bowman’s capsule.

Treatment

Hydration with saline and cessation of suspected drugs.

Hydration with saline and cessation of suspected drugs.
Dialysis.

Renal outcome

Recovery from renal insufficiency occurs rapidly in a few days or weeks.

Complete recovery from renal insufficiency does not occur. Dialysis is sometimes required.

Table 1: The histology and outcomes of renal injury in calcium-alkali syndrome.