title: Hypercalcemia, inappropriate calcitriol levels, and tuberculosis on hemodialysis.
abstract: We describe a female patient undergoing hemodialysis who developed tuberculosis, hypercalcemia, and inappropriately elevated calcitriol levels. These findings suggest ectopic production of calcitriol by tuberculous granulomas. Successful treatment of tuberculosis led to a substantial decrease in the levels of calcium and calcitriol.
authors.affiliation: Nephrology Service, Central Hospital of Asturias, Oviedo, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Peces
authors.forename: A
authors.initials: A
authors.lastname: Pobes
authors.forename: C
authors.initials: C
authors.lastname: Díaz-Corte
authors.forename: E
authors.initials: E
authors.lastname: Gago
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D002117:Calcitriol / Q000378:metabolism*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000150:complications*; D016867:Immunocompromised Host; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation; D010281:Parathyroid Hormone / Q000378:metabolism; D006435:Renal Dialysis; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents; D010281:Parathyroid Hormone; D002117:Calcitriol