Tumoral Calcinosis in a Patient with Sarcoidosis
Journal Title: Journal of Integrative Medicine & Therapy - Year 2018, Vol 5, Issue 1
Abstract
A 27-year-old Caucasian female with sarcoidosis and chronic kidney disease was admitted in January of 2017 with hypotension, constipation, and painful swelling over both of her hips. Her initial serum chemical analysis was notable for calcium 13.7 mg/dl, creatinine 3.04 mg/dl, albumin 3.3 gm/dl, phosphorus 4.2, CRP 13 mg/L, ESR 73 mm/hr, serum ACE 66 U/L, 1,25-dihydroxy vitamin D 43.1 pg/ml, and PTH 12 pg/ml. A skeletal survey revealed large multi-loculated periarticular collections of milk of calcium in her bilateral hips. The patient had been originally treated with prednisone following her diagnosis of sarcoidosis in May 2016 but self-terminated this regimen after unwanted weight gain from steroid use. She also endorsed copious milk intake, consuming a gallon of milk a day.
Authors and Affiliations
Zhang C
Keywords
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