Case of Sarcoidosis-Related Hypercalcemia with Normal Serum 1,25(OH)2D / 대한내과학회지
Korean Journal of Medicine
;
: 207-211, 2015.
Article
in English
| WPRIM
| ID: wpr-167632
ABSTRACT
Diagnosing hypercalcemia is often challenging because a wide spectrum of diseases-such as malignancy, granulomatous disease, and primary hyperparathyroidism-should be considered. Sarcoidosis is a rare cause of hypercalcemia. The case of a 77-year-old male presenting with sarcoidosis-associated hypercalcemia whose serum 1,25(OH)2D level was normal is reported here. Despite a normal 1,25(OH)2D level and minimally enlarged hilar lymphadenopathy, the serum angiotensin-converting enzyme (ACE) level was increased. Mediastinoscopic biopsy of the right lower paratracheal lymph node revealed pathological findings compatible with sarcoidosis. Treatment with 30 mg/day oral prednisone was started. Currently, the patient is being treated with a tapered dose of oral prednisone and small doses of vitamin D and calcium. Despite its low incidence, sarcoidosis should be considered a cause of hypercalcemia. The important diagnostic factors are not only serum calcitriol levels but also serum ACE levels and pathological findings.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sarcoidosis
/
Vitamin D
/
Biopsy
/
Calcitriol
/
Prednisone
/
Calcium
/
Incidence
/
Hypercalcemia
/
Lymph Nodes
/
Lymphatic Diseases
Type of study:
Incidence study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
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