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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">porozendo</journal-id><journal-title-group><journal-title xml:lang="ru">Остеопороз и остеопатии</journal-title><trans-title-group xml:lang="en"><trans-title>Osteoporosis and Bone Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-2680</issn><issn pub-type="epub">2311-0716</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/osteo13141</article-id><article-id custom-type="elpub" pub-id-type="custom">porozendo-13141</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE REPORT</subject></subj-group></article-categories><title-group><article-title>Гиперкальциемия с развитием хронической болезни почек, нефролитиаза после введения масляных растворов в мышцы</article-title><trans-title-group xml:lang="en"><trans-title>Hypercalcemia with the development of chronic kidney disease, nephrolithiasis after intramuscular injection of oil solutions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2144-8595</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рунова</surname><given-names>Г. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Runova</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рунова Гюзель Евгеньевна - к.м.н., доцент кафедры.</p><p>Москва</p></bio><bio xml:lang="en"><p>Gusel E. Runova - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">guzelvolkova@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1809-7977</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пешева</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Pesheva</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пешева Екатерина Дмитриевна - ассистент кафедры.</p><p>Москва</p></bio><bio xml:lang="en"><p>Ekaterina D. Pesheva - assistant of the department.</p><p>Moscow</p></bio><email xlink:type="simple">ekaterinapesheva.endo@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-9587-8370</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вастистова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vastistova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вастистова Анастасия Алексеевна - клинический ординатор.</p><p>119435, Москва, ул. Погодинская, д. 1с1</p></bio><bio xml:lang="en"><p>Anastasiya A. Vastistova - clinical resident.</p><p>1/1 Pogodinskaya street, 119435, Moscow</p></bio><email xlink:type="simple">vastistiva.a@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7041-0732</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рожинская</surname><given-names>Л. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Rozhinskaya</surname><given-names>L. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рожинская Людмила Яковлевна - д.м.н., профессор.</p><p>Москва</p></bio><bio xml:lang="en"><p>Ludmila Ya. Rozhinskaya - MD, PhD, professor.</p><p>Moscow</p></bio><email xlink:type="simple">Irozhinskaya@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2147-3061</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полубояринова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Poluboyarinova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Полубояринова Ирина Владимировна - к.м.н., доцент кафедры.</p><p>Москва</p><p>Researcher ID: AAL-6684-2021</p></bio><bio xml:lang="en"><p>Irina V. Poluboyarinova - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">polub-irina@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Василевская</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilevskaya</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Василевская Мария Павловна - к.м.н., заместитель главного врача по медицинской части УКБ №3, врач-нефролог.</p><p>Москва</p></bio><bio xml:lang="en"><p>Mariya P. Vasilyeva - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">gelianna@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2576-4421</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гурова</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Gurova</surname><given-names>O. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гурова Олеся Юрьевна - к.м.н., доцент кафедры.</p><p>Москва</p></bio><bio xml:lang="en"><p>Olesya Yu. Gurova - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">gurova79@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3026-6315</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фадеев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fadeev</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фадеев Валентин Викторович - д.м.н., профессор, член-корреспондент РАН.</p><p>Москва</p></bio><bio xml:lang="en"><p>Valentin V. Fadeev - MD, ScD, professor, corresponding member of the RAS.</p><p>Moscow</p></bio><email xlink:type="simple">walfad@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)<country>Россия</country></aff><aff xml:lang="en">I.M. Sechenov First Moscow State Medical University (Sechenov University)<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБУ «Национальный медицинский центр эндокринологии» Минздрава России<country>Россия</country></aff><aff xml:lang="en">Endocrinology Research Centre<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>17</day><month>03</month><year>2024</year></pub-date><volume>26</volume><issue>3</issue><fpage>33</fpage><lpage>39</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Рунова Г.Е., Пешева Е.Д., Вастистова А.А., Рожинская Л.Я., Полубояринова И.В., Василевская М.П., Гурова О.Ю., Фадеев В.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Рунова Г.Е., Пешева Е.Д., Вастистова А.А., Рожинская Л.Я., Полубояринова И.В., Василевская М.П., Гурова О.Ю., Фадеев В.В.</copyright-holder><copyright-holder xml:lang="en">Runova G.E., Pesheva E.D., Vastistova A.A., Rozhinskaya L.Y., Poluboyarinova I.V., Vasilevskaya M.P., Gurova O.Y., Fadeev V.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.osteo-endojournals.ru/jour/article/view/13141">https://www.osteo-endojournals.ru/jour/article/view/13141</self-uri><abstract><p>Одной из редких причин паратгормон-независимой гиперкальциемии может быть использование культуристами, наряду с анаболическими гормонами, инъекций масляных растворов в мышцы для большей их рельефности. Представлен клинический случай пациента 43 лет, использовавшего масляный раствор синтола в возрасте 25–30 лет, с длительно нераспознанной гиперкальциемией, манифестировавшей нефролитиазом и развитием хронической болезни почек (ХБП). Гиперкальциемия впервые выявлена в 37 лет, но была оставлена без внимания. При обследовании в 2023 г. (в 43 года) гиперкальциемия достигла критического уровня (4,26 ммоль/л) при сниженном паратгормоне (ПТГ) и ХБП С4. Поиск онкологических причин гиперкальциемии не дал результата. Доказана редкая причина гиперкальциемии — введение масляного раствора в мышцы, что привело к нефролитиазу, нефрокальцинозу и ХБП. Продемонстрирован положительный эффект глюкокортикоидов по аналогии с таковым при гранулематозных заболеваниях и гиперкальциемии. Обсуждаются механизмы развития ПТГ-независимой гиперкальциемии и дифференциальной диагностики. Представленный клинический случай редкой причины гиперкальциемии может быть полезен для врачей разных специальностей: эндокринологов, терапевтов, урологов, дерматологов и др.</p></abstract><trans-abstract xml:lang="en"><p>One of the rare causes of PTH-independent hypercalcemia can be anabolic oil solution, injected intramuscularly by bodybuilders, along with anabolic hormones, in order to make the muscles more prominent. Here is the clinical report of a 43-year-old patient who used Synthol oil solution at the age of 25–30 years is presented. He had long-term undiagnosed hypercalcemia that manifested with nephrolithiasis and progressing chronic kidney disease (CKD). For the first time hypercalcemia was diagnosed at the age of 37, but left omitted. In 2023 (43 years) the laboratory findings sowed extremely high calcium level (4.26 mmol/l) with decreased PTH and CKD C4. Malignancy hypercalcemia was excluded. With this case, the rare cause of hypercalcemia has been proven – intramuscular oil injection resulting in nephrolithiasis, nephrocalcinosis and CKD. Treatment with glucocorticoids has demonstrated positive effect, similar to the ones of granulomatous diseases and hypercalcemia. The mechanisms of PTH-independent hypercalcemia development and differential diagnosis are currently being discussed. The presented clinical case of a rare cause of hypercalcemia may be useful for doctors of various specialties: endocrinologists, therapists, urologists, dermatologists, etc.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ПТГ-независимая гиперкальциемия</kwd><kwd>синтол</kwd><kwd>нефролитиаз</kwd><kwd>хроническая болезнь почек</kwd></kwd-group><kwd-group xml:lang="en"><kwd>PTH-independent hypercalcemia</kwd><kwd>synthol</kwd><kwd>nephrolithiasis</kwd><kwd>chronic kidney disease (CKD)</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Авторы выражают благодарность сотрудникам эндокринологического терапевтического отделения №1 УКБ №2 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет) за помощь в подготовке данного клинического случая.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Marcocci C. and Cetani F. Primary hyperparathyroidism. The New England Journal of Medicine. Vol. 365, no. 25, pp. 2389-2397, 201; doi: https://doi.org/10.1056/NEJMcp1106636</mixed-citation><mixed-citation xml:lang="en">Marcocci C. and Cetani F. Primary hyperparathyroidism. The New England Journal of Medicine. Vol. 365, no. 25, pp. 2389-2397, 201; doi: https://doi.org/10.1056/NEJMcp1106636</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Fisken RA, Heath DA, Bold AM. Hypercalcaemia — a hospital survey. Q J Med. 1980;49:405-418</mixed-citation><mixed-citation xml:lang="en">Fisken RA, Heath DA, Bold AM. 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