'Surgical cure' for non-parathyroid hypercalcemia.
BACKGROUND
Sarcoidosis is a granulomatous disease of unknown aetiology. Over 90% patients of sarcoidosis present with pulmonary findings. Other organs such as lymph nodes, skin, and joints may be involved. Isolated granulomatous disease confined to the spleen is rare.


METHODS
This report documents a rare case of isolated granulomatous disease of spleen presenting as hypercalcemia. After all possible causes for hypercalcemia were ruled out, splenectomy was done which proved diagnostic and therapeutic, as calcium levels returned to normal.


CONCLUSIONS
We propose that sarcoidosis should be kept in mind as a cause of unexplained hypercalcemia. Increased awareness of radiological features of splenic involvement in sarcoidosis, would help in diagnosis. We believe that we are reporting 9th case in the literature while writing this report.
Joglekar
Sandeep P
SP
James Paget University Hospital NHS Trust, Great Yarmouth, UK. sandeep.joglekar@jpaget.nhs.uk
Hudson
Robert L
RL
Logasundaram
Rajesh
R
Pereira
Jerome H
JH
D005260:Female; D006099:Granuloma / Q000150:complications*; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000150:complications*; D012507:Sarcoidosis / Q000150:complications*; D013156:Splenectomy