Sarcoidosis and primary hyperparathyroidism
Metadatos
Mostrar el registro completo del ítemEditorial
Archivos de Medicina Universitaria
Materia
Sarcoidosis Hyperparathyroidism Hypercalcemia
Fecha
2015Referencia bibliográfica
Zarza Arribas, María; Alonso Santor, Juan Ernesto. Sarcoidosis and primary hyperparathyroidism. AMU. 2015; 3: 24-27
Resumen
The etiopathogenical relationship between
sarcoidosis and primary hyperparathyroidism
is not yet fully defined. This coexistence
remains rare in medical literature despite their
relatively high prevalence. Therefore, this
potential association should be considered in the
differential diagnosis of a patient with sarcoidosis
presenting symptoms of hyperparathyroidism.
In this paper we describe the case of a patient
diagnosed with sarcoidosis who presented an initial
episode of symptomatic hypercalcemia successfully
treated with corticoids. After remaining asymptomatic
for years, hypercalcemia reappears in several tests.
The complete study on calcium metabolism leads the
diagnosis toward primary hyperparathyroidism.
This case is relevant as it emphasizes the need to avoid
attributing to hypercalcemia a reaction proper to
sarcoidosis. Thus, it is intended to highlight the need
to approach differential diagnosis of hypercalcemia
instead of administering a treatment with corticoids.