Non-PTH mediated severe hypercalcaemia ?cause
?malignancy-induced ?granuolmata (sarcoid, T.B,
histoplasmosis)-related ?excess vitamin D (over the
counter medicines), check ACE and vitamin D levels.
regards
Mohammad
--- "Dr. Ihssan Bouhtiauy" <[log in to unmask]>
wrote: > We have a 66 old female, presenting vomiting
and
> diarrhea over several
> months. She has severe rheumatoid arthritis treated
> with Plaquenil and
> steroids.
> She had thyroidectomy and apparently was
> hypoparathyroid and neede
> Calcium supplment but not active Vit. D
> she is having severe hypercalcemia since several
> months,
> The results are:
> TSH 4.45 (.5-5.0)
> PHT 0.5 (1.6-6.9)
> Urea 11.4 (1.6-6.9)
> Creat. 404 (44-97)
> Alb 34 (35-50)
> Prot 59 (66-87)
> Ca 4.6 (2.10-2.55)
> Pi 1.45 (.87-1.52)
>
> Alc Phos. normal
> Bence jones neg.
> Electrophoresis: hypogammaglobulinemia
>
> Any ideas?
>
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=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
________________________________________________________________________
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------ACB discussion List Information--------
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via the internet. Views expressed are those of the individual and
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