title: Hypercalcemic crisis due to primary hyperparathyroidism in systemic lupus erythematosus (SLE).
abstract: Severe hypercalcemia is often caused by primary hyperparathyroidism (PHP), which is not commonly seen in patients with systemic lupus erythematosus (SLE). In this case report an adolescent girl with a history of SLE develops mild hypercalcemia secondary to unrecognized PHP that leads to a hypercalcemic crisis with a prolonged recovery. Therefore, early diagnostic evaluation of persistent hypercalcemia in patients with SLE is important for detection and appropriate treatment of PHP to avoid a hypercalcemic crisis and associated prolonged morbidity.
authors.affiliation: Department of Child Health, Division of Endocrinology, University of Missouri Children’s Hospital, One Hospital Dr., DC058.00, Columbia, MO 65212, USA. choudhryk@health.missouri.edu
authors.forename: K S
authors.initials: KS
authors.lastname: Choudhry
authors.forename: M Z
authors.initials: MZ
authors.lastname: Malik
authors.forename: C
authors.initials: C
authors.lastname: Buggs-Saxton
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000175:diagnosis / Q000209:etiology*; D049950:Hyperparathyroidism, Primary / Q000150:complications* / Q000175:diagnosis; D008180:Lupus Erythematosus, Systemic / Q000503:physiopathology*; D012720:Severity of Illness Index; D013997:Time Factors
keywords: Primary hyperparathyroidism; SLE; hungry bones syndrome; hypercalcemic crisis; juvenile; severe hypercalcemia; systemic lupus erythematosus