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恶性高钙血症揭示肺结节病

Malignant Hypercalcemia Revealing Pulmonary Sarcoidosis.

作者信息

Lakhal Mohamed, Kebbara Salaheddine, Thouil Afaf, Kouismi Hatim

机构信息

Department of Respiratory Diseases, Research, and Medical Sciences Laboratory, Mohammed VI University Hospital, Oujda, MAR.

出版信息

Cureus. 2024 Jul 13;16(7):e64454. doi: 10.7759/cureus.64454. eCollection 2024 Jul.

Abstract

Sarcoidosis is a systemic disorder characterized by the development of granulomatous inflammation in various organs of the body. Hypercalcemia is one of its manifestations. We present a case of malignant hypercalcemia in a 77-year-old man, diagnosed as sarcoidosis following multiple assessments and histological confirmation showing noncaseating granulomas. In the absence of an etiological diagnosis, treatment was initially based on hydration, diuretics, and bisphosphonate. Glucocorticoid therapy can be the standard treatment for hypercalcemia related to sarcoidosis.

摘要

结节病是一种全身性疾病,其特征是在身体各个器官中出现肉芽肿性炎症。高钙血症是其表现之一。我们报告一例77岁男性的恶性高钙血症病例,该患者经多次评估和组织学证实显示非干酪样肉芽肿后被诊断为结节病。在病因诊断不明确的情况下,治疗最初基于补液、利尿剂和双膦酸盐。糖皮质激素治疗可以是结节病相关高钙血症的标准治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5df/11318219/546be625519d/cureus-0016-00000064454-i01.jpg

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