Primary hyperparathyroidism (relatively rare in cats)
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Parathyroid glands are overactive (often due to a tumor) and secrete excessive parathyroid hormone
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Removal or destruction of tumor
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Hypercalcemia caused by cancer (malignant hypercalcemia); most commonly caused by lymphoma, squamous cell carcinoma, and multiple myeloma
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Increased bone breakdown and resorption triggered by cancer cells causes higher levels of calcium in blood
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Depends on specific type of cancer; the presence of hypercalcemia is often associated with a poorer outlook and a shorter survival time
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Exact mechanism is unknown; most common cause of hyper-calcemia in cats
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Hyperthyroidism (increased production of thyroid hormones)
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Most cases are caused by a benign tumor of the thyroid gland that produces excess thyroid hormones. Those hormones can cause calcium levels to increase.
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Surgery or radiation are often used to treat the tumor. Once that's been done, calcium levels may return to normal, but should be monitored.
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Granulomatous disease (masses of white blood cells that can form because of certain fungal, bacterial, and parasitic infections)
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Inflammation activates the type of white blood cells that can increase levels of active vitamin D
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Treatment of underlying disease, for example, antifungal drugs or surgery
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Idiopathic hypercalcemia of cats
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Unknown cause; affects cats 2 to 13 years old (either sex)
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Diet change and possibly medication (prednisone or bisphosphonates)
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