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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