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Puzzling hypercalcaemia: sarcoidosis without lung involvement
Graduate School of Medicine - Papers (Archive)
  • A Fowler, St Thomas' Hospital, London, UK
  • Paul I Dargan, NHS Foundation, London
  • Alison L Jones, University of Wollongong
Publication Date
Publication Details

Fowler, A., Dargan, P. I., Jones, A. L. (2005). Puzzling hypercalcaemia: sarcoidosis without lung involvement. Royal Society of Medicine. Journal, 98 (2), 60-61.

A Caucasoid woman of 68 was seen after three weeks of confusion, polydipsia, anorexia, general malaise and weight loss. A life-long smoker of ten cigarettes a day, she had no medical history of note. On examination she was cachectic and dehydrated. Nothing else was found—in particular, no rashes, lymphadenopathy, or respiratory or neurological signs. Routine investigations revealed a lymphopenia of 0.66109/L (full blood count otherwise normal), erythrocyte sedimentation rate 34 mm/h, normal serum electrolytes with mild renal impairment (urea 12.1 mmol/L, creatinine 164 mmol/L) and hypercalcaemia with a corrected serum total calcium of 3.56 mmol/L and phosphate 1.3 mmol/L; alkaline phosphatase was 165 IU/L, alanine aminotransferase 44 IU/L, gammaglutamyltransferase 81 IU/L, and albumin 30 g/L. Her chest radiograph was normal.
Citation Information
A Fowler, Paul I Dargan and Alison L Jones. "Puzzling hypercalcaemia: sarcoidosis without lung involvement" (2005) p. 60 - 61
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