Table 1

Causes of hypercalcaemia in myeloma

Myeloma bone disease
 Postulated chemical mediators for osteoclast activating factor include1 2
  Interleukin-1
  Interleukin-6
  Tumour necrosis factor-α
  Lymphotoxin
  Colony stimulating factors
  Unidentified factors
 PTH-rP3
Abnormal calcium binding globulins4 5
Coincident presence of another disease causing hypercalcaemia including primary hyperparathyroidism6
  • PTH-rP = parathyroid hormone related peptide.