title: Renal Failure Found during the Follow-up of Sarcoidosis: The Relevance of a Delay in the Diagnosis of Concurrent Hypercalcemia.
abstract: We herein present a case of relapsed sarcoidosis with a deteriorated renal function accompanied by hypercalcemia, nephrolithiasis, and a ureteral stone in a woman with a history of ocular sarcoidosis. The ocular involvement appeared to be well controlled for a long period of time with a topical ophthalmic steroid; however, we believe that the absence of apparent recrudescence could have led to the delay in our diagnosis of relapse of the disease during the follow-up period. The conundrums regarding longitudinal surveillance for both evaluating the disease activity and determining the necessity of therapeutics are also discussed.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan.
authors.forename: Erika
authors.initials: E
authors.lastname: Hishida
authors.forename: Takahiro
authors.initials: T
authors.lastname: Masuda
authors.forename: Tetsu
authors.initials: T
authors.lastname: Akimoto
authors.forename: Ryuta
authors.initials: R
authors.lastname: Sato
authors.forename: Natsuko
authors.initials: N
authors.lastname: Wakabayashi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Miki
authors.forename: Naoko
authors.initials: N
authors.lastname: Otani
authors.forename: Toshimi
authors.initials: T
authors.lastname: Imai
authors.forename: Taro
authors.initials: T
authors.lastname: Sugase
authors.forename: Shin-Ichi
authors.initials: S
authors.lastname: Takeda
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Muto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nagata
mesh_terms: D000368:Aged; D002908:Chronic Disease; D005128:Eye Diseases / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006934:Hypercalcemia / Q000150:complications*; D007669:Kidney Calculi / Q000150:complications*; D012008:Recurrence; D051437:Renal Insufficiency / Q000150:complications*; D012507:Sarcoidosis / Q000150:complications*; D014514:Ureteral Calculi / Q000150:complications*