Peces R, Pobes A, Díaz-Corte C, Gago E
Nephrology Service, Central Hospital of Asturias, Oviedo, Spain.
Scand J Urol Nephrol. 2000 Aug;34(4):287-8. doi: 10.1080/003655900750042077.
We describe a female patient undergoing hemodialysis who developed tuberculosis, hypercalcemia, and inappropriately elevated calcitriol levels. These findings suggest ectopic production of calcitriol by tuberculous granulomas. Successful treatment of tuberculosis led to a substantial decrease in the levels of calcium and calcitriol.
我们描述了一名接受血液透析的女性患者,她患上了结核病、高钙血症,且1,25 - 二羟维生素D3水平异常升高。这些发现提示结核性肉芽肿异位产生了1,25 - 二羟维生素D3。结核病的成功治疗使钙和1,25 - 二羟维生素D3水平大幅下降。