Browsing by Author "Godoy Santín, Jaime"

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    Sarcoid-like granulomatous myositis-associated hypercalcemia. An infrequent case to consider
    (2021) Uslar N., Thomas; Olmos Borzone, Roberto Ignacio; Godoy Santín, Jaime; Mellado T., Patricio; González Vicente, Gilberto
    PTH-independent hypercalcemia due to granulomatous disease is well-documented and sarcoidosis is the most characteristic disease, although there are others. We describe a case of sarcoid-like granulomatous myositis. An 87-year-old man was referred with tetraparesis and hypercalcemia (albumin-corrected calcium of 13.4 mg/dl) following a trip to the Caribbean. The evaluation showed a suppressed PTH, 25-hydroxy vitamin D of 7.5 ng/ml, 18F-FDG PET/CT showed markedly increased uptake in intercostal, back, shoulder, buttock and thigh muscles and a deltoid biopsy confirmed extensive granulomatous myositis. He was prescribed glucocorticoids which resulted in normalized plasma calcium levels and complete recovery from tetraparesis. Sarcoid-like granulomatous myositis should be incorporated into the differential diagnosis of PTH-independent hypercalcemia, especially in the absence of clinical features of sarcoidosis and with special emphasis on the use of 18F-FDG PET/CT to ensure a correct approach.
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    Secondary paroxysmal dyskinesia in multiple sclerosis: Clinical-radiological features and treatment. Case report of seven patients.
    (2017) Ciampi, Ethel; Uribe San Martín, Reinaldo; Godoy Santín, Jaime; Cruz, Juan Pablo; Cárcamo Rodríguez, Claudia Andrea; Juri Clavería, Carlos Andrés