[Recurrence of sarcoidosis in a hemodialysis patient confirmed by abnormal calcium metabolism].
28-year-old man hospitalized for a fever of unknown origin. This patient was already diagnosed as neurosarcoidosis proven by brain biopsy in 1997, then entered chronic hemodialysis therapy in 2002. The data showed hypercalcemia without taking any calcium agent and vitamin D, also showed suppressed intact-parathyroid hormone and normalized 1,25-dihydroxyvitamin D even the condition of end stage renal failure. Recurrence of sarcoidosis was made in this hospitalization. The laboratory data as well as symptom improved after taking oral prednisolone. We reported the case of recurrent sarcoidosis in a hemodialysis patient confirmed by abnormal calcium metabolism.
Tanaka
Kentaro
K
Department of Internal Medicine, Saiseikai-Yokohamashi Nambu-Hospital.
Tanimoto
Hiroyuki
H
Sakai
Ken
K
Arai
Kenji
K
Mizuiri
Sonoo
S
Hasegawa
Akira
A
Otsuka
Takashi
T
Uchino
Masafumi
M
D000328:Adult; D002117:Calcitriol / Q000378:metabolism; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D009422:Nervous System Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010281:Parathyroid Hormone / Q000097:blood; D011239:Prednisolone / Q000627:therapeutic use; D012008:Recurrence; D006435:Renal Dialysis; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D010281:Parathyroid Hormone; D011239:Prednisolone; D002117:Calcitriol