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Query: UMLS:C0221002 (
primary hyperparathyroidism
)
4,921
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Hypercalcemia is a common electrolyte abnormality with a wide differential diagnosis.
Primary hyperparathyroidism
and malignancy are the most frequent causes, accounting for more than 90% of cases. We report the case of a woman presenting with symptomatic severe hypercalcemia, who was subsequently diagnosed with systemic lupus erythematosus (SLE) due to the presence of arthritis, lymphopenia, antinuclear antibodies (ANA), anti-DNA and anti-Ro antibodies and low C3 levels. After acute treatment with intravenous fluids, steroids, diuretics and pamidronate, calcium levels corrected and have remained normal on low-dose prednisone. Five similar cases have been reported in the literature. Thus, SLE is an uncommon cause of hypercalcemia, which can also be the presenting feature of lupus.
Lupus
2004
PMID:Systemic lupus erythematosus presenting as acute symptomatic hypercalcemia. 1499 7
Hypercalcaemia is found in more than 90% of the cases of primitive hyperparathyroidism and malignancies. Rarely, D hypervitaminosis, sarcoidosis, other granulomatous diseases, some drugs, and endocrine diseases may be responsible. Nine patients with systemic lupus erythematosus (SLE) and hypercalcaemia, without evidence of
primary hyperparathyroidism
, have been previously described. Here we report the 10th patient with SLE and hypercalcaemia, along with a brief review of the literature.
Lupus
2011 Jun
PMID:Hypercalcaemia in systemic lupus erythematosus. 2128 97
Severe hypercalcemia is often caused by
primary hyperparathyroidism
(
PHP
), which is not commonly seen in patients with systemic lupus erythematosus (SLE). In this case report an adolescent girl with a history of SLE develops mild hypercalcemia secondary to unrecognized
PHP
that leads to a hypercalcemic crisis with a prolonged recovery. Therefore, early diagnostic evaluation of persistent hypercalcemia in patients with SLE is important for detection and appropriate treatment of
PHP
to avoid a hypercalcemic crisis and associated prolonged morbidity.
Lupus
2013 Jul
PMID:Hypercalcemic crisis due to primary hyperparathyroidism in systemic lupus erythematosus (SLE). 2375 96