Hypercalcemia, Anemia, and Acute Kidney Injury: A Rare Presentation of Sarcoidosis
Joint Authors
Tariq, Hassan
Niazi, Masooma
Chilimuri, Sridhar
Skaradinskiy, Yevegeniy
Sharma, Neeraj
Uday, Kalpana
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
We discuss a case of a 61-year-old woman who presented with substernal chest pain.
She was found to have elevated calcium levels, anemia, and acute kidney injury.
The hypercalcemia persisted despite therapy with fluids and bisphosphonates.
She was found to have nonparathyroid hormone (PTH) mediated hypercalcemia.
The chest X-ray did not reveal any pathology.
Our Initial impression was likely underlying hematologic malignancy such as lymphoma or multiple myeloma.
A bone marrow biopsy was performed that revealed nonnecrotizing granulomatous inflammation.
Further workup revealed elevated vitamin 1,25 dihydroxy level, beta-two microglobulin level, and ACE levels.
Noncontrast computed tomography (CT) scan of chest showed bilateral apical bronchiectasis, but did not show any lymphadenopathy or evidence of malignancy.
Subsequently, a fiber optic bronchoscopy with transbronchial biopsy showed nonnecrotizing granulomatous inflammation consistent with sarcoidosis.
After initiating glucocorticoid therapy, the patient’s hypercalcemia improved and her kidney function returned to baseline.
American Psychological Association (APA)
Sharma, Neeraj& Tariq, Hassan& Uday, Kalpana& Skaradinskiy, Yevegeniy& Niazi, Masooma& Chilimuri, Sridhar. 2015. Hypercalcemia, Anemia, and Acute Kidney Injury: A Rare Presentation of Sarcoidosis. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1058870
Modern Language Association (MLA)
Sharma, Neeraj…[et al.]. Hypercalcemia, Anemia, and Acute Kidney Injury: A Rare Presentation of Sarcoidosis. Case Reports in Medicine No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1058870
American Medical Association (AMA)
Sharma, Neeraj& Tariq, Hassan& Uday, Kalpana& Skaradinskiy, Yevegeniy& Niazi, Masooma& Chilimuri, Sridhar. Hypercalcemia, Anemia, and Acute Kidney Injury: A Rare Presentation of Sarcoidosis. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1058870
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058870