Login
News & Updation
Best Article Awards
World Journal of Advance Healthcare Research (WJAHR) is giving Best Article Award in every Issue for Best Article and Issue Certificate of Appreciation to the Authors to promote research activity of scholar.
Best Article of current issue
Download Article : Click here
Indexing
Abstract
A RARE CAUSE OF HYPERCALCAEMIA
Dr. Adel Ekladious* and Agbayani Evangeline
ABSTRACT
A 50-year old female with hypercalcaemia has been diagnosed with sarcoidosis. She came with a history of anorexia and fatigue and investigations have shown extensive pulmonary fibrosis, lytic lesions on the skull and hips, along with hypercalcaemia, hypercalciuria, nephrocalcinosis and elevated 1,25 dihydroxyvitamin D levels. Both CT guided biopsy of the mediastinal lymph nodes and bronchial biopsy and washings confirmed non-caseating granulomas which is a hallmark of but not specific to sarcoidosis. She was treated with prednisolone 30mg daily which eventually resulted into normal metabolic activity on a PET-CT scan 2 months after the initiation of treatment. Raised 1,25 dihydroxyvitamin D level is common in sarcoidosis. Measuring 1-25 hydroxyvitamin D should be a part of the workup on patients who have hypercalcaemia because it can aid in ruling out or ruling in the possibility of non-malignant granulomatous diseases.
[Full Text Article] [Download Certificate]