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Case of Sarcoidosis-Related Hypercalcemia with Normal Serum 1,25(OH)2D / 대한내과학회지
Korean Journal of Medicine ; : 207-211, 2015.
Artigo em Inglês | 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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Sarcoidose / Vitamina D / Biópsia / Calcitriol / Prednisona / Cálcio / Incidência / Hipercalcemia / Linfonodos / Doenças Linfáticas Tipo de estudo: Estudo de incidência / Estudo prognóstico Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: Korean Journal of Medicine Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Sarcoidose / Vitamina D / Biópsia / Calcitriol / Prednisona / Cálcio / Incidência / Hipercalcemia / Linfonodos / Doenças Linfáticas Tipo de estudo: Estudo de incidência / Estudo prognóstico Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: Korean Journal of Medicine Ano de publicação: 2015 Tipo de documento: Artigo