Sarcoidosis with hypercalcemic and mediastinal lymphadenectasis: A case report

VernacularTitle:以高钙血症及纵隔淋巴结肿大为表现的结节病一例报道
Author: Jian LI ¹ ; Qingge GAO ; Li XU ; Chaoyu ZHU ; Yuanyuan XIAO ; Jing YU ; Fusong JIANG ; Li WEI
Author Information

1. 上海健康医学院附属第六人民医院东院心血管内科 201306
Keywords: Hypercalcemic; Mediastinal lymphadenectasis; Sarcoidosis
From: Chinese Journal of Endocrinology and Metabolism 2019;35(2):157-160
CountryChina
Language:Chinese
Abstract: Hypercalcemia is an abnormal calcium metabolism, which can be caused by many diseases. Hypercalcemia caused by sarcoidosis is unusual. Sarcoidosis is a systemic granulomatous disease, it is lack of specificity in initial manifestations and easy to be misdiagnosed. In this paper, we report a patient with hypercalcemia and mediastinal lymphadenectasis, which the first diagnosis was misdiagnosed as tumour. Finally, sarcoidosis was diagnosed by mediastinal lymph node biopsy, and the patient was subsequently treated with glucocorticoid. Prednisone treatment improved symptoms of sarcoidosis, normalised serum calcium and mediastinal lymph nodes were diminished. This case suggests that clinicians need to raise awareness of sarcoidosis to identify and diagnose it correctly.