Rosenstein Kyle, Kern Philip A
Department of Internal Medicine, Division of Endocrinology, and the Barnstable Brown Diabetes and Obesity Center, University of Kentucky, Lexington, Kentucky 40536, USA.
J Endocr Soc. 2022 Apr 22;6(6):bvac066. doi: 10.1210/jendso/bvac066. eCollection 2022 Jun 1.
Among the many causes of hypercalcemia are inflammatory conditions, particularly involving granulomatous disease. We present a case of a previously healthy woman who arrived at the emergency department with severe symptomatic hypercalcemia. Workup revealed elevated levels of 1,25-dihydroxyvitamin D along with pneumonitis on computed tomography (CT) imaging. The patient revealed frequent use of eucalyptus oil in her home essential oil diffuser and after removal of the offending agent her hypercalcemia, elevated 1,25-dihydroxyvitamin D, and pneumonitis on CT imaging all resolved.
高钙血症的病因众多，其中包括炎症性疾病，尤其是肉芽肿病。我们报告一例既往健康的女性患者，她因严重的症状性高钙血症就诊于急诊科。检查发现1,25 - 二羟维生素D水平升高，同时计算机断层扫描（CT）成像显示有肺炎。患者透露在家中经常使用香薰机中的桉叶油，去除该致病因素后，她的高钙血症、升高的1,25 - 二羟维生素D以及CT成像显示的肺炎均得到缓解。
