Hypercalcemia in a Patient with Systemic Lupus Erythematosus.
10.3904/kjm.2017.92.3.300
- Author:
Jeong Min LEE
1
;
Dae Hun KWACK
;
Chong Hyeon YOON
;
Bomi CHOI
;
Young Ok KIM
;
Young Soo KIM
;
Sun Ae YOON
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sayoon@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hypercalcemia;
Lupus erythematosus, Systemic;
Parathyroid hormone-related protein
- MeSH:
Calcium;
Diagnosis, Differential;
Diuretics;
Humans;
Hypercalcemia*;
Hyperparathyroidism, Primary;
Korea;
Lupus Erythematosus, Systemic*;
Parathyroid Hormone-Related Protein;
Prednisolone;
Renal Dialysis
- From:Korean Journal of Medicine
2017;92(3):300-302
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypercalcemia is a common clinical problem. The most frequent causes of hypercalcemia include primary hyperparathyroidism and malignancy; systemic lupus erythematosus (SLE) is a very rare cause of hypercalcemia. Here we describe a case of symptomatic severe hypercalcemia, which developed during a lupus flare. After treatment with intravenous fluids, diuretics, pamidronate, and hemodialysis, calcium levels normalized and were maintained on low-dose prednisolone treatment. To the best of our knowledge, this is the first case of hypercalcemia in a patient with SLE in Korea. Clinicians should consider lupus as a differential diagnosis for patients with severe hypercalcemia.
