[Polyuria, polydipsia].
A 24 year old patient with epigastric pain, polyuria, polydipsia and hypercalcemia was admitted to the hospital. Besides the frequent causes of hypercalcemia such as primary hyperparathyroidism and malignancy-related hypercalcemia we had to consider sarcoidosis because of massive splenomegaly. The interstitial lung disease shown on x-ray films of the chest, the epithelioid granulomas in lung tissue and the increased ACE confirmed the diagnosis of sarcoidosis. Hypercalcemia is found in less than 5% of all cases with sarcoidosis. After treatment with steroids, diphosphonates and diuretics all symptoms and the hypercalcemia improved.
Bokemeyer
D
D
Medizinische Universitätspoliklinik Bonn.
Fronhoffs
S
S
Heidgen
F J
FJ
Vetter
H
H
D000328:Adult; D003937:Diagnosis, Differential; D004326:Drinking; D006801:Humans; D006934:Hypercalcemia / Q000150:complications* / Q000503:physiopathology; D008297:Male; D011141:Polyuria / Q000209:etiology*; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology
Polyurie, Polydypsie.