[血液透析患者结节病复发经异常钙代谢证实]

[Recurrence of sarcoidosis in a hemodialysis patient confirmed by abnormal calcium metabolism].

作者信息

Tanaka Kentaro, Tanimoto Hiroyuki, Sakai Ken, Arai Kenji, Mizuiri Sonoo, Hasegawa Akira, Otsuka Takashi, Uchino Masafumi

机构信息

Department of Internal Medicine, Saiseikai-Yokohamashi Nambu-Hospital.

出版信息

Clin Calcium. 2005 Sep;15 Suppl 1:83-5; discussion 86.

PMID:16272637

Abstract

28-year-old man hospitalized for a fever of unknown origin. This patient was already diagnosed as neurosarcoidosis proven by brain biopsy in 1997, then entered chronic hemodialysis therapy in 2002. The data showed hypercalcemia without taking any calcium agent and vitamin D, also showed suppressed intact-parathyroid hormone and normalized 1,25-dihydroxyvitamin D even the condition of end stage renal failure. Recurrence of sarcoidosis was made in this hospitalization. The laboratory data as well as symptom improved after taking oral prednisolone. We reported the case of recurrent sarcoidosis in a hemodialysis patient confirmed by abnormal calcium metabolism.

摘要

一名28岁男性因不明原因发热入院。该患者于1997年经脑活检确诊为神经结节病，2002年开始接受慢性血液透析治疗。数据显示，在未服用任何钙剂和维生素D的情况下出现高钙血症，同时甲状旁腺激素原水平受到抑制，即使处于终末期肾衰竭状态，1,25 - 二羟维生素D水平仍正常。此次住院期间结节病复发。口服泼尼松龙后实验室检查数据及症状均有所改善。我们报告了一例经异常钙代谢证实的血液透析患者结节病复发的病例。