儿童结节病表现为高钙血症危象。

Sarcoidosis Pub Date : 1994-09-01
A L Hoffmann, N Milman, H E Nielsen, J Thode
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引用次数: 0

摘要

我们报告一例高钙血症危机由于结节病在一个15岁的男孩。肝活检证实了结节病的临床怀疑。入院时血清钙、1,25(OH)2、ACE升高,iPTH抑制。随访血清总钙、离子钙、iPTH、ACE、1,25(OH)2和25-OH水平,并在全身类固醇治疗期间进行胸片和肺功能检查。治疗期间临床情况改善,5周内临床旁测量指标恢复正常。阐明了儿童结节病高钙血症发生的机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Childhood sarcoidosis presenting with hypercalcaemic crisis.

We report a case of hypercalcaemic crisis due to sarcoidosis in a 15-year-old boy. The clinical suspicion of sarcoidosis was confirmed by a liver biopsy. At admission serum calcium, 1,25(OH)2 and ACE were elevated and iPTH was suppressed. The levels of serum total and ionized calcium, iPTH, ACE, 1,25(OH)2 and 25-OH were followed and chest X-ray and pulmonary function tests were performed during systemic steroid treatment. The clinical condition improved during treatment and the paraclinical measurements normalised within 5 weeks. The mechanism whereby hypercalcaemia occurs in childhood sarcoidosis is clarified.

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