Hypercalcemia and renal failure in the course of sarcoidosis — case report

Anna Kempisty, Jan Kuś

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Abstract

Disturbances of calcium metabolism such as hypercalcemia or/and hypercalciuria in the course of sarcoidosis can be
a cause of renal failure in some patients. Life threatening hypercalcemia in sarcoidosis patients is not very frequent. Severe
hypercalcemia leading to renal insufficiency is a very rare condition. We present a case of 53-year old man who was admitted
to Department of Lung Diseases because of hypercalcemic syndrome and renal failure, and in whom diagnosis of sarcoidosis
was made. He was successfully treated with systemic corticosteroids. In this article we present physiological mechanism of
hypercalcemia in sarcoidosis patients, mechanism of renal damage and management of these difficult problems.

Keywords

hypercalcemia; renal failure; sarcoidosis; calcium metabolism

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