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高钙血症相关性结节病导致的深部淋巴结肿大和肾衰竭:一例报告

Deep lymph node enlargement and renal failure caused by hypercalcemia‑associated sarcoidosis: A case report.

作者信息

Liu Zezhou, Tang Zhigang, Yuan Jingping, Su Ke, Jian Yonghong, Liu Hongyan

机构信息

Department of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China.

Department of Pancreatic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China.

出版信息

Exp Ther Med. 2024 Mar 27;27(5):235. doi: 10.3892/etm.2024.12524. eCollection 2024 May.

Abstract

Sarcoidosis is a rare disease that severely affects the lungs and superficial lymph nodes. In addition, this disease can also affect the skin, eyes and kidneys to varying degrees. The present report described a 32-year-old male patient who was admitted to Renmin Hospital of Wuhan University (Wuhan, China) due to joint pain in the extremities. He was diagnosed with uncorrectable hypercalcemia. A lymph node biopsy revealed the hypercalcemia to be associated with sarcoidosis, with the patient also demonstrating renal failure and lymph node enlargement. Administration of glucocorticoids provided benefits in terms of both primary and recurrent sarcoidosis, which also improved and preserved renal function. After being prescribed with oral prednisone treatment, blood calcium levels returned to normal, which indicated markedly improving renal function. However, the discontinuation of glucocorticoids for 2 months resulted in increased serum calcium and creatinine levels, both of which returned to abnormal levels. Overall, the present case report suggests that clinicians should actively perform sarcoidosis treatment in clinical practice to overcome any unexpected results associated with organ damage.

摘要

结节病是一种罕见疾病,严重影响肺部和浅表淋巴结。此外,该疾病还可不同程度地影响皮肤、眼睛和肾脏。本报告描述了一名32岁男性患者,因四肢关节疼痛入住武汉大学人民医院(中国武汉)。他被诊断为无法纠正的高钙血症。淋巴结活检显示高钙血症与结节病有关,患者还表现出肾衰竭和淋巴结肿大。糖皮质激素治疗对原发性和复发性结节病均有益,同时改善并保留了肾功能。口服泼尼松治疗后,血钙水平恢复正常,提示肾功能明显改善。然而,停用糖皮质激素2个月导致血清钙和肌酐水平升高,二者均恢复至异常水平。总体而言,本病例报告表明临床医生在临床实践中应积极开展结节病治疗,以克服与器官损伤相关的任何意外结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0899/11019652/a8d365df4683/etm-27-05-12524-g00.jpg

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